Organization Active NPI

Periwinkle Mental Health LLC

  • Psychiatry Physician
  • Mayfield Heights, OH
National Provider Identifier
1306654181
Registry record updated Dec 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
PERIWINKLE MENTAL HEALTH LLC
Practice address
5950 Mayfield Rd # 1177
Mayfield Heights, OH 44124-2905
Phone
(480) 688-0298
NPI assigned
Dec 24, 2024
Last updated
Dec 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2024

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

Authorized official

Name
Julia Lobodenko-Cox, PMHNP-BCNPI 1790460301
Title
Founder
Phone
(866) 688-0298

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

5950 Mayfield Rd # 1177
Mayfield Heights, OH 44124-2905

Mailing address

5950 Mayfield Rd # 1177
Mayfield Heights, OH 44124-2905
Phone (480) 688-0298

National Provider Directory

National Provider Directory

Locations

5950 Mayfield Rd
#1177
Mayfield Heights, OH 44124
Phone (480) 688-0298

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1734998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734998400000",
    "number": "1306654181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5950 MAYFIELD RD # 1177",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441242905",
            "telephone_number": "480-688-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 MAYFIELD RD # 1177",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441242905",
            "telephone_number": "480-688-0298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIWINKLE MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-24",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-24",
        "status": "A",
        "authorized_official_last_name": "LOBODENKO-COX",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "866-688-0298",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayfield Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.