Active NPI
Janet Gobrogge CNP LLC
- Psychiatric/Mental Health Nurse Practitioner
- Fairlawn, OH
National Provider Identifier
1669831228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- NP 10445
- Legal business name
- JANET GOBROGGE CNP LLC
- Practice address
- 3250 W Market St
Suite 210
Fairlawn, OH 44333-3336 - Phone
- (330) 864-5100
- NPI assigned
- Feb 11, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Janet Louise Gobrogge, CNP
- Title
- Owner
- Phone
- (330) 864-5100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NP 10445 | OH | Primary |
Addresses
Primary practice location
3250 W Market St
Suite 210
Fairlawn, OH 44333-3336
Mailing address
3250 W Market St
Suite 210
Fairlawn, OH 44333-3336
Phone (330) 864-5100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0061215 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3250 W Market St
Ste 210
Fairlawn, OH 44333
Phone (330) 864-5100
3250 W Market St
Ste 101
Fairlawn, OH 44333
Phone (330) 864-0600
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Akron, OH
- NPI 1992890867
-
- Clinical Social Worker
- Fairlawn, OH
- NPI 1780693549
-
- Psychologist
- Fairlawn, OH
- NPI 1164431938
-
- Psychologist
- Fairlawn, OH
- NPI 1518976364
-
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- Medina, OH
- NPI 1790944908
-
- Psychiatric/Mental Health Nurse Practitioner
- Munroe Falls, OH
- NPI 1477803419
-
- Child & Adolescent Psychiatry Physician
- Springfield, OH
- NPI 1063576056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455148800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1455148800000",
"number": "1669831228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3250 W MARKET ST",
"address_2": "SUITE 210",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443333336",
"telephone_number": "330-864-5100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3250 W MARKET ST",
"address_2": "SUITE 210",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443333336",
"telephone_number": "330-864-5100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JANET GOBROGGE CNP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-11",
"last_updated": "2016-02-11",
"status": "A",
"authorized_official_last_name": "GOBROGGE",
"authorized_official_first_name": "JANET",
"authorized_official_middle_name": "LOUISE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "330-864-5100",
"authorized_official_credential": "CNP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OH",
"license": "NP 10445",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0061215",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairlawn, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.