Individual provider Active NPI

Amber D Bucks, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Cleveland, OH
National Provider Identifier
1609631613
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0035800 Issued in OH
Practice address
1804 E 55TH St
Cleveland, OH 44103-3602
Phone
(216) 762-1237
NPI assigned
Feb 19, 2024
Last updated
Feb 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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.0035800 OH Primary

Addresses

Primary practice location

1804 E 55TH St
Cleveland, OH 44103-3602

Mailing address

8900 Abbey Rd
North Royalton, OH 44133-1122
Phone (864) 752-5180

Other names 1

  • Amber Bradley Former name

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
I20250822002943 OH Practitioner - Nurse Practitioner 3476053547 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

24500 Ctr Ridge Rd
Westlake, OH 44145

5158 Broadway Ave
Cleveland, OH 44127-1592

6090 Royalton Rd
Suite 410
North Royalton, OH 44133-5104

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0035800OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Train Your Brain Wellness LLC Current Accepting new patients
Premier Physicians Centers Inc CurrentSince Jan 25, 2026 Accepting new patients
Premier Physicians Centers, Inc. CurrentSince Jan 25, 2026 Accepting new patients
Psychiatry Networks Inc CurrentSince Sep 1, 2025 Accepting new patients

Locations

5158 Broadway Ave
Cleveland, OH 44127
Phone (216) 271-0711

24500 Center Ridge Rd
Ste 375
Westlake, OH 44145
Phone (440) 467-1954

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1609631613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 ABBEY RD",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441331122",
            "telephone_number": "864-752-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 E 55TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441033602",
            "telephone_number": "216-762-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKS",
        "first_name": "AMBER",
        "middle_name": "D",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-19",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0035800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "BRADLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.