Active NPI
Rebuilding Mental Wealth
- Psychiatry Physician
- Parma, OH
National Provider Identifier
1255117644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- REBUILDING MENTAL WEALTH
- Practice address
- 5500 Ridge Rd Ste 138
Parma, OH 44129-2367 - Phone
- (440) 340-5209
- Fax
- (216) 243-3379
- NPI assigned
- Sep 1, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tonya M Fisher, PMHNP-BC
- Title
- Nurse Practitioner
- Phone
- (440) 340-5209
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary | ||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
5500 Ridge Rd Ste 138
Parma, OH 44129-2367
Mailing address
5500 Ridge Rd Ste 138
Parma, OH 44129-2367
Phone (440) 340-5209
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Rebuilding Mental Wealth
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatric/Mental Health Nurse Practitioner
- Parma, OH
- NPI 1457171845
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Parma, OH
- NPI 1033794722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712534400000",
"number": "1255117644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 RIDGE RD STE 138",
"city": "PARMA",
"state": "OH",
"postal_code": "441292367",
"telephone_number": "440-340-5209",
"fax_number": "216-243-3379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 RIDGE RD STE 138",
"city": "PARMA",
"state": "OH",
"postal_code": "441292367",
"telephone_number": "440-340-5209",
"fax_number": "216-243-3379"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REBUILDING MENTAL WEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-01",
"last_updated": "2024-04-08",
"certification_date": "2024-04-08",
"status": "A",
"authorized_official_last_name": "FISHER",
"authorized_official_first_name": "TONYA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "440-340-5209",
"authorized_official_credential": "PMHNP-BC"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Parma, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.