Raven Neal-Jackson

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN.CNP.0035788 Issued in OH

Practice address

1655 Holland Rd
Maumee, OH 43537-1656

Phone

(833) 510-4357

NPI assigned

Mar 24, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

University of Toledo College of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neighborhood Health Care IncorporatedGroup PAC ID 2668466012, 68 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rnealjackson702640@direct.ochin.org

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.

• Neighborhood Health Care Incorporated

  • Primary Care Clinic/Center
  • Cleveland, OH
  • NPI 1720135304
  Medicare reassignment Care Compare group NPD
• Neighborhood Health Care Incorporated

  • Primary Care Clinic/Center
  • Cleveland, OH
  • NPI 1326462219
  NPD
• Neighborhood Health Care Incorporated

  • Pharmacy
  • Cleveland, OH
  • NPI 1427847854
  NPD
• Neighborhood Health Care Incorporated

  • Primary Care Clinic/Center
  • Cleveland, OH
  • NPI 1952568586
  NPD
• Neighborhood Health Care Incorporated

  • Primary Care Clinic/Center
  • Cleveland, OH
  • NPI 1265702351
  NPD (past)
• Neighborhood Health Care Incorporated

  • Primary Care Clinic/Center
  • Lakewood, OH
  • NPI 1265902324
  NPD (past)
• Neighborhood Health Care Incorporated

  • Primary Care Clinic/Center
  • Cleveland, OH
  • NPI 1568014173
  NPD (past)
• Neighborhood Health Care Incorporated

  • Clinic/Center
  • Cleveland, OH
  • NPI 1730563891
  NPD (past)

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

{
    "created_epoch": "1679616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1487357729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD STE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122600",
            "telephone_number": "513-873-1269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 HOLLAND RD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371656",
            "telephone_number": "833-510-4357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2141 Overlook Rd",
            "address_purpose": "LOCATION",
            "city": "Cleveland Heights",
            "state": "OH",
            "postal_code": "441065995",
            "country_code": "US",
            "telephone_number": "888-364-5977 x2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEAL-JACKSON",
        "first_name": "RAVEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-24",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.492340",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0035788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi Nagy
• David Lee Nalls, CDCA
• Robert R Namay, DDS, MS
• Maggie Rashida Naseem, LPCC-S
• Lindsay Navarette
• Omar Syed Neamatullah, MD
• Neil Saunders
• Vidya Nelacanti, M.D.
• Shelby Nelson
• Nephrology Associates of Toledo

• Psychiatric/Mental Health Nurse Practitioner in Maumee, OH
• Providers in Maumee, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.

Verify at the official NPI Registry.