Individual provider Active NPI

Angela Brickner, APRN-CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Avon, OH
National Provider Identifier
1629706973
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0032068 Issued in OH
Practice address
1426 Center Rd
Avon, OH 44011-1214
Phone
(216) 468-5000
NPI assigned
Aug 12, 2022
Last updated
Mar 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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.0032068 OH Primary

Addresses

Primary practice location

1426 Center Rd
Avon, OH 44011-1214

Mailing address

1426 Center Rd
Avon, OH 44011-1214
Phone (216) 468-5000

Other practice location 1

1019 Pierce St
Sandusky, OH 44870-4633
Phone (419) 910-2777

Other practice location 2

1854 E Perry St Ste 900
Port Clinton, OH 43452-1586
Phone (419) 680-0665

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
I20250428001868 OH Practitioner - Nurse Practitioner 6406223106 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychological and Behavioral Consultants LLCGroup PAC ID 0446243760, 595 clinicians

Practice addresses (Care Compare)

1426 Ctr Rd
Avon, OH 44011-1214
Phone (216) 831-6611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0032068OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psycho Social Therapies,LTD CurrentSince Sep 22, 2022 Accepting new patients
Psychological & Behavioral Consultants, LLC CurrentSince Apr 5, 2025 Accepting new patients
Psycho Social Therapies,LTD CurrentSince Sep 22, 2022 Accepting new patients

Locations

1426 Center Rd
Avon, OH 44011
Phone (440) 937-4951

23366 Commerce Park
Ste 100B
Beachwood, OH 44122
Phone (216) 292-2880

23715 Mercantile Rd
Ste A203
Beachwood, OH 44122
Phone (216) 292-2880

25111 Country Club Blvd
Ste 290
North Olmsted, OH 44070
Phone (440) 614-2520

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.angelabrickner@140094.advancedmd-direct.com

Organizations & group practices 3

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": "1660262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1629706973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 CENTER RD",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440111214",
            "telephone_number": "216-468-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 CENTER RD",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440111214",
            "telephone_number": "216-468-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1019 Pierce St",
            "address_purpose": "LOCATION",
            "city": "Sandusky",
            "state": "OH",
            "postal_code": "448704633",
            "country_code": "US",
            "telephone_number": "419-910-2777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1854 E Perry St Ste 900",
            "address_purpose": "LOCATION",
            "city": "Port Clinton",
            "state": "OH",
            "postal_code": "434521586",
            "country_code": "US",
            "telephone_number": "419-680-0665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRICKNER",
        "first_name": "ANGELA",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-12",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0032068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, OH

Sources for this page

Verify at the official NPI Registry.