Individual provider Active NPI

Praveena Prasai Berlin, APRN.CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Beachwood, OH
National Provider Identifier
1285067355
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.16991 Issued in OH
Practice address
25700 Science Park Dr Ste 210
Beachwood, OH 44122-7328
Phone
(216) 450-1613
NPI assigned
Aug 13, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.16991 OH
Family Nurse Practitioner 363LF0000X 3008238 LA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.16991 OH Primary

Addresses

Primary practice location

25700 Science Park Dr Ste 210
Beachwood, OH 44122-7328

Mailing address

PO Box 844020
Dallas, TX 75284-4020
Phone (216) 450-1613

Other identifiers 1

IdentifierTypeStateIssuer
0128206MedicaidOH

Other names 1

  • Praveena Prasai Sharma Other name

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
I20180822001933 OH Practitioner - Nurse Practitioner 1557595733 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Louisville School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Recovery Concepts, LLCGroup PAC ID 5991005860, 37 clinicians
Summit Psychological Associates, Inc.Group PAC ID 4082518857, 9 clinicians

Practice addresses (Care Compare)

25700 Science Park Dr
Suite 210
Beachwood, OH 44122-7328
Phone (216) 450-1613

37 N Broadway St
Akron, OH 44308-1910
Phone (330) 535-8181

832 McKinley Ave NW
Canton, OH 44703-2463
Phone (330) 493-2554

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3008238LAMDFamily Nurse Practitioner
APRN.CNP.16991OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Psychological Associates, Inc. CurrentSince Jun 19, 2021 Accepting new patients
Talbert House CurrentSince Dec 23, 2019 Accepting new patients
Ohioguidestone CurrentSince Jul 7, 2018 Accepting new patients
Ohioguidestone CurrentSince Jul 7, 2018 Accepting new patients
Advanced Recovery Concepts LLC Psychiatric/Mental Health CurrentSince Jun 1, 2022 Accepting new patients
Axis Mental Health and Wellness Psychiatric/Mental Health Past Accepting new patients

Locations

90 N Summit St
Akron, OH 44308
Phone (234) 571-9110

37 N Broadway St
Akron, OH 44308
Phone (330) 535-8181

25700 Science Park Dr
Ste 210
Beachwood, OH 44122
Phone (216) 452-1613

434 Eastland Rd
Berea, OH 44017
Phone (440) 260-8327

202 E Bagley Rd
Berea, OH 44017
Phone (440) 260-8327

4510 Dressler Rd NW
Canton, OH 44718
Phone (330) 494-5155

1515 Carll St
Cincinnati, OH 45225
Phone (513) 244-3985

2600 Victory Pkwy
Cincinnati, OH 45206
Phone (513) 872-5863

3500 Carnegie Ave
Cleveland, OH 44115
Phone (440) 260-8327

1730 W 25th St
Cleveland, OH 44113
Phone (216) 696-4300

2173 N Ridge Rd E
Ste E
Lorain, OH 44055
Phone (440) 260-6100

5208 Mahoning Ave
Ste 209
Youngstown, OH 44515
Phone (330) 792-5247

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/summit-psychological/r4/

Organizations & group practices 6

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": "1376352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1285067355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844020",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844020",
            "telephone_number": "216-450-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25700 SCIENCE PARK DR STE 210",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441227328",
            "telephone_number": "216-450-1613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRASAI BERLIN",
        "first_name": "PRAVEENA",
        "credential": "APRN.CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-13",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.16991",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "3008238",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.16991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0128206",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRAVEENA",
            "last_name": "PRASAI SHARMA",
            "credential": "APRN.CNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.