Individual provider Active NPI

Denise A Flynn, MSN, PMHCNS-BC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Willoughby Hills, OH
National Provider Identifier
1144308008
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
APRN03262 Issued in OH
Practice address
34950 Chardon Rd Ste 202
Willoughby Hills, OH 44094-9162
Phone
(440) 510-5100
Fax
(440) 510-5151
NPI assigned
Nov 1, 2006
Last updated
Jan 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 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 Clinical Nurse Specialist 364SP0808X APRN03262 OH Primary

Addresses

Primary practice location

34950 Chardon Rd Ste 202
Willoughby Hills, OH 44094-9162

Mailing address

34950 Chardon Rd Ste 202
Willoughby Hills, OH 44094-9162
Phone (440) 510-5100

Other identifiers 1

IdentifierTypeStateIssuer
0058245MedicaidOH

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
I20040519000088 OH Practitioner - Certified Clinical Nurse Specialist (CNS) 3476544578 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
DRS Feldman,Svete,Foerstner LLCGroup PAC ID 4880625151, 6 clinicians

Practice addresses (Care Compare)

34950 Chardon Rd
Suite 202
Willoughby Hills, OH 44094-9162
Phone (440) 510-5100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
APRN03262OHMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Feldman,Svete,Foerstner LLC CurrentSince Jan 1, 2022 Accepting new patients
Signature Health, Inc. CurrentSince Sep 22, 2019 Accepting new patients
Family Guidance Center Inc PastSince Apr 14, 2021 Accepting new patients
Dr Diane E Smith & Assoc Inc Past Accepting new patients
The Centers for Families and Children Past Accepting new patients

Locations

21100 Southgate Park Blvd
Maple Heights, OH 44137
Phone (216) 663-6100

7232 Justin Way
Mentor, OH 44060
Phone (440) 488-2855

38882 Mentor Ave
Willoughby, OH 44094

34950 Chardon Rd
Ste 202
Willoughby Hills, OH 44094
Phone (440) 477-1007

Interoperability endpoints

  • Direct secure messaging: dflynn327446@direct.ochin.org

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1144308008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34950 CHARDON RD STE 202",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440949162",
            "telephone_number": "440-510-5100",
            "fax_number": "440-510-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34950 CHARDON RD STE 202",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440949162",
            "telephone_number": "440-510-5100",
            "fax_number": "440-510-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "DENISE",
        "middle_name": "A",
        "credential": "MSN, PMHCNS-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN03262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0058245",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willoughby Hills, OH

Sources for this page

Verify at the official NPI Registry.