Individual provider Active NPI

Natasha Liberatore

  • Psychiatric/Mental Health Nurse Practitioner
  • Beachwood, OH
National Provider Identifier
1629621768
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
PMH05250104 Issued in OH
Practice address
3690 Orange PL Ste 320
Beachwood, OH 44122-4432
Phone
(216) 831-1494
NPI assigned
Jul 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X PMH05250104 OH Primary
Registered Nurse 163W00000X RN.486528 OH

Addresses

Primary practice location

3690 Orange PL Ste 320
Beachwood, OH 44122-4432

Mailing address

3690 Orange PL Ste 320
Beachwood, OH 44122-4432
Phone (216) 831-1494

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
I20251231000363 OH Practitioner - Nurse Practitioner 9234625187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chattree and Associates LTDGroup PAC ID 5799682605, 5 clinicians

Practice addresses (Care Compare)

3690 Orange PL
Suite 320
Beachwood, OH 44122-4432
Phone 2168311494111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN.486528OHMDRegistered Nurse
PMH05250104OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chattree and Associates LTD CurrentSince Dec 17, 2025 Accepting new patients

Locations

3690 Orange Pl
Ste 320
Beachwood, OH 44122
Phone (216) 831-1494

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": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1629621768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3690 ORANGE PL STE 320",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224432",
            "telephone_number": "216-831-1494",
            "fax_number": "216-831-1494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3690 ORANGE PL STE 320",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224432",
            "telephone_number": "216-831-1494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBERATORE",
        "first_name": "NATASHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-18",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "PMH05250104",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.486528",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.