Individual provider Active NPI

Brian Spence, MSW, APRN-CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Akron, OH
National Provider Identifier
1083268718
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.025278 Issued in OH
Practice address
636 W Exchange St
Akron, OH 44302-1306
Phone
(216) 432-7200
Fax
(330) 787-9505
NPI assigned
Jul 31, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.025278 OH Primary

Addresses

Primary practice location

636 W Exchange St
Akron, OH 44302-1306

Mailing address

2860 Detroit Ave Apt 103
Cleveland, OH 44113-2741
Phone (419) 357-5088

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
I20230828000590 OH Practitioner - Nurse Practitioner 0941663751 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.025278OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Circle Health Services CurrentSince Oct 19, 2024 Accepting new patients
Circle Health Services CurrentSince Oct 19, 2024 Accepting new patients
Circle Health Services Past Accepting new patients

Locations

4400 Euclid Ave
Cleveland, OH 44103
Phone (216) 325-9355

12201 Euclid Ave
Cleveland, OH 44106
Phone (216) 373-2846

3929 Rocky River Dr
Cleveland, OH 44111
Phone (216) 252-5800

5209 Detroit Ave
Cleveland, OH 44102
Phone (216) 651-2037

5955 Ridge Rd
Parma, OH 44129
Phone (440) 888-0300

Organizations & group practices 3

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": "1564531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1083268718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 DETROIT AVE APT 103",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441132741",
            "telephone_number": "419-357-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 W EXCHANGE ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443021306",
            "telephone_number": "216-432-7200",
            "fax_number": "330-787-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCE",
        "first_name": "BRIAN",
        "credential": "MSW,  APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-31",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.025278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.