Individual provider Active NPI

Susan A O'Brien, RN.MS. CNS

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Cleveland, OH
National Provider Identifier
1447503453
Registry record updated Feb 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
COA.06364-NS Issued in OH
Practice address
3569 Ridge Rd
Cleveland, OH 44102-5443
Phone
(216) 281-0872
Fax
(216) 281-9565
NPI assigned
Oct 16, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X COA.06364-NS OH
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X COA.06364-NS OH Primary

Addresses

Primary practice location

3569 Ridge Rd
Cleveland, OH 44102-5443

Mailing address

3569 Ridge Rd
Cleveland, OH 44102-5443
Phone (216) 281-0872

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
I20140521002392 OH Practitioner - Certified Clinical Nurse Specialist (CNS) 7113140096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3569 Ridge Rd
Cleveland, OH 44102-5443
Phone (216) 281-0872

6412 Franklin Blvd
Cleveland, OH 44102-3153
Phone (216) 281-0872

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
COA.06364-NSOHMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health Care Incorporated CurrentSince Apr 28, 2014 Accepting new patients
Neighborhood Health Care Incorporated Current Accepting new patients
Neighborhood Health Care Incorporated CurrentSince Apr 28, 2014 Accepting new patients
Neighborhood Health Care Incorporated Past Accepting new patients
Neighborhood Health Care Incorporated Past Accepting new patients
Neighborhood Health Care Incorporated Past Accepting new patients
Neighborhood Health Care Incorporated Past Accepting new patients
Neighborhood Health Care Incorporated Past Accepting new patients

Locations

2358 Professor Ave
Cleveland, OH 44113
Phone (216) 334-2800

3569 Ridge Rd
Cleveland, OH 44102

4115 Bridge Ave
Ste 300
Cleveland, OH 44113
Phone (216) 237-6129

6412 Franklin Blvd
Cleveland, OH 44102
Phone (216) 363-7733

3545 Ridge Rd
Ste 2
Cleveland, OH 44102
Phone (216) 961-6860

14625 Puritas Ave
Cleveland, OH 44135
Phone (216) 928-1950

11709 Lorain Ave
Cleveland, OH 44111
Phone (216) 367-1004

13027 Lorain Ave
Cleveland, OH 44111
Phone (216) 688-1046

11906 Madison Ave
Lakewood, OH 44107

Interoperability endpoints

  • Direct secure messaging: sobrien124256@direct.ochin.org

Organizations & group practices 8

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": "1350345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392768000000",
    "number": "1447503453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3569 RIDGE RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441025443",
            "telephone_number": "216-281-0872",
            "fax_number": "216-281-9565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3569 RIDGE RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441025443",
            "telephone_number": "216-281-0872",
            "fax_number": "216-281-9565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "SUSAN",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "RN.MS. CNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-16",
        "last_updated": "2014-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OH",
            "license": "COA.06364-NS",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "OH",
            "license": "COA.06364-NS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.