Active NPI
Veronica Hollabaugh, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Bay Village, OH
National Provider Identifier
1427927755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 0040758
- Practice address
- 445 Glen Park Dr
Bay Village, OH 44140-2422 - Phone
- (818) 390-1826
- NPI assigned
- Nov 4, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0040758 | OH | Primary |
Addresses
Primary practice location
445 Glen Park Dr
Bay Village, OH 44140-2422
Mailing address
445 Glen Park Dr
Bay Village, OH 44140-2422
Phone (818) 390-1826
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
17999 36TH CT N
Loxahatchee, FL 33470-5432
1991 Crocker Rd
Suite 600
Westlake, OH 44145-1962
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 507301 | OH | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manrodt Psychiatry, LLC. | Single Specialty | Current | Accepting new patients |
Locations
1991 Crocker Rd
Ste 600
Westlake, OH 44145
Phone (440) 396-3968
Organizations & group practices 1
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": "1762214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787875200000",
"number": "1427927755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 GLEN PARK DR",
"city": "BAY VILLAGE",
"state": "OH",
"postal_code": "441402422",
"telephone_number": "818-390-1826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 GLEN PARK DR",
"city": "BAY VILLAGE",
"state": "OH",
"postal_code": "441402422",
"telephone_number": "818-390-1826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLABAUGH",
"first_name": "VERONICA",
"credential": "PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-11-04",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OH",
"license": "0040758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bay Village, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.