Pannette Behavioral Health Care LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

I0008711 Issued in OH

Legal business name

PANNETTE BEHAVIORAL HEALTH CARE LLC

Practice address

8000 Town Centre Dr
Suite 300
Broadview Heights, OH 44147-4030

Phone

(440) 627-6962

Fax

(440) 627-6963

NPI assigned

Mar 13, 2013

Organization subpart

No

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

Authorized official

Name

Douglas Paul Pannette, LISW-S

Title

President/Owner

Phone

(440) 627-6962

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363132800000",
    "number": "1396086534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 TOWN CENTRE DR",
            "address_2": "SUITE 300",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441474030",
            "telephone_number": "440-627-6962",
            "fax_number": "440-627-6963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 TOWN CENTRE DR",
            "address_2": "SUITE 300",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441474030",
            "telephone_number": "440-627-6962",
            "fax_number": "440-627-6963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANNETTE BEHAVIORAL HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-13",
        "last_updated": "2013-03-13",
        "status": "A",
        "authorized_official_last_name": "PANNETTE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "440-627-6962",
        "authorized_official_credential": "LISW-S"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "OH",
            "license": "I0008711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "515293",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN HEALTH SERIVCES",
            "identifier": "094872000",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin I Nixon, PTA
• Nutrition Works, LLC
• Lucy Kathleen O'Brien, D.O.
• Ashley Osterman, FNP-BC
• Monah Pannell
• Douglas Paul Pannette, LISW-S
• Adrianne Marie Parker, PMHNP-BC
• Donald G Patacca, DDS
• John Bruce Pate
• Paul Bures DO

• Adult Mental Health Clinic/Center in Broadview Heights, OH
• Providers in Broadview Heights, OH by specialty
• Adult Mental Health Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; 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.