Individual provider Active NPI

Melissa Ann Brian, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Youngstown, OH
National Provider Identifier
1669937108
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0033478 Issued in OH
Practice address
833 Boardman Canfield Rd Ste 105
Youngstown, OH 44512-4236
Phone
(330) 953-1964
NPI assigned
Feb 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN266806 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0033478 OH Primary

Addresses

Primary practice location

833 Boardman Canfield Rd Ste 105
Youngstown, OH 44512-4236

Mailing address

10320 Midway Dr
New Middletown, OH 44442-7700
Phone (330) 397-6660

Other practice location 1

1947 E Market St
Warren, OH 44483-6644
Phone (330) 965-9999

Other practice location 2

11369 Market St
North Lima, OH 44452-9782
Phone (330) 965-9999

Other practice location 3

3657 Mahoning Ave
Youngstown, OH 44515-3018
Phone (330) 965-9999

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
I20230516001713 OH Practitioner - Nurse Practitioner 2860858974 Reassigns benefits to 1 organization

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
Serenity Center of Youngstown LLCGroup PAC ID 3870893472, 13 clinicians

Practice addresses (Care Compare)

11369 Market St
North Lima, OH 44452-9782
Phone (330) 965-9999

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN266806OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Center of Youngstown, LLC CurrentSince May 1, 2023 Accepting new patients
Associates in Psychiatry, Inc. CurrentSince Mar 26, 2023 Accepting new patients

Locations

11369 Market St
North Lima, OH 44452
Phone (330) 965-9999

1947 E Market St
Warren, OH 44483
Phone (330) 965-9999

3657 Mahoning Ave
Youngstown, OH 44515
Phone (330) 965-9999

833 Boardman Canfield Rd
Ste 105
Youngstown, OH 44512
Phone (330) 758-9751

8440 Market St
Youngstown, OH 44512
Phone (330) 533-8888

Organizations & group practices 2

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": "1549584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1669937108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10320 MIDWAY DR",
            "city": "NEW MIDDLETOWN",
            "state": "OH",
            "postal_code": "444427700",
            "telephone_number": "330-397-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 BOARDMAN CANFIELD RD STE 105",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445124236",
            "telephone_number": "330-953-1964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1947 E Market St",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "OH",
            "postal_code": "444836644",
            "country_code": "US",
            "telephone_number": "330-965-9999",
            "fax_number": "330-757-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11369 Market St",
            "address_purpose": "LOCATION",
            "city": "North Lima",
            "state": "OH",
            "postal_code": "444529782",
            "country_code": "US",
            "telephone_number": "330-965-9999",
            "fax_number": "330-757-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3657 Mahoning Ave",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445153018",
            "country_code": "US",
            "telephone_number": "330-965-9999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRIAN",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-08",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN266806",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0033478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.