Individual provider Active NPI

Lori B Dellick, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Solon, OH
National Provider Identifier
1609229939
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.019490 Issued in OH
Practice address
6935 Woodlands LN
Solon, OH 44139-4664
Phone
(404) 498-4756
NPI assigned
Jul 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.019490 OH Primary

Addresses

Primary practice location

6935 Woodlands LN
Solon, OH 44139-4664

Mailing address

6935 Woodlands LN
Solon, OH 44139-4664
Phone (404) 498-4756

Other identifiers 1

IdentifierTypeStateIssuer
0180548MedicaidOH

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
I20160908001692 OH Practitioner - Nurse Practitioner 8820384464 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Youngstown Specialty Care LLCGroup PAC ID 3476950296, 463 clinicians
M and M Health Care, Inc.Group PAC ID 3577780097, 4 clinicians

Practice addresses (Care Compare)

1044 Belmont Ave
Youngstown, OH 44504-1006
Phone (330) 480-3655

6935 Woodlands LN
Solon, OH 44139-4664
Phone (440) 498-4756

Hospital & facility affiliations

  • MH St Elizabeth Youngstown Hospital Hospital, Youngstown, OH, CCN 360064
  • Mercy Regional Medical Center Hospital, Lorain, OH, CCN 360172

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.019490OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Behavioral Health Associates, Inc. CurrentSince Sep 30, 2019 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jan 1, 2022 Accepting new patients
Steward Medical Group Inc. CurrentSince Aug 1, 2017 Accepting new patients
M & M Health Care, Inc. CurrentSince Feb 15, 2017 Accepting new patients
Steward Medical Group, Inc CurrentSince Aug 1, 2017 Accepting new patients
Steward Medical Group, Inc PastSince Feb 15, 2017 Accepting new patients

Locations

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

1350 E Market St
Warren, OH 44483
Phone (330) 841-5969

8401 Market St
Youngstown, OH 44512
Phone (330) 729-2929

104 Javit Ct
Youngstown, OH 44515
Phone (330) 207-1754

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

Interoperability endpoints

  • Direct secure messaging: ldellick232134@direct.bsmhealth.org

Organizations & group practices 7

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1609229939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6935 WOODLANDS LN",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441394664",
            "telephone_number": "404-498-4756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6935 WOODLANDS LN",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441394664",
            "telephone_number": "404-498-4756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLICK",
        "first_name": "LORI",
        "middle_name": "B",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-21",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.019490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0180548",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Solon, OH

Sources for this page

Verify at the official NPI Registry.