Individual provider Active NPI

Carly Hamaoui, APRN-NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Strongsville, OH
National Provider Identifier
1043913015
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0033283 Issued in OH
Practice address
11565 Pearl Rd
Strongsville, OH 44136-3356
Phone
(888) 830-0347
NPI assigned
Mar 27, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.374817 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0033283 OH Primary

Addresses

Primary practice location

11565 Pearl Rd
Strongsville, OH 44136-3356

Mailing address

11565 Pearl Rd
Strongsville, OH 44136-3356
Phone (888) 830-0347

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230613002535 OH Practitioner - Nurse Practitioner 8729445390 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychological and Behavioral Consultants LLCGroup PAC ID 0446243760, 595 clinicians

Practice addresses (Care Compare)

25101 Chagrin Blvd
Suite 100
Beachwood, OH 44122-5694
Phone (216) 831-6611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN.374817OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mindfully Psychiatry LLC CurrentSince May 1, 2023 Accepting new patients
Psychological & Behavioral Consultants, LLC CurrentSince Jul 1, 2023 Accepting new patients

Locations

25101 Chagrin Blvd
Ste 100
Beachwood, OH 44122
Phone (216) 245-4468

1125 Ellen Kay Dr
Ste D
Marion, OH 43302
Phone (614) 382-6900

10547 Montgomery Rd
Ste 700
Montgomery, OH 45242
Phone (513) 393-0300

25111 Country Club Blvd
Ste 290
North Olmsted, OH 44070
Phone (440) 614-2520

25111 Country Club Blvd
Ste 209
North Olmsted, OH 44070

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.carlyhamaoui@140094.advancedmd-direct.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1043913015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11565 PEARL RD",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441363356",
            "telephone_number": "888-830-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11565 PEARL RD",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441363356",
            "telephone_number": "888-830-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMAOUI",
        "first_name": "CARLY",
        "credential": "APRN-NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.374817",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0033283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Strongsville, OH

Sources for this page

Verify at the official NPI Registry.