Robert Ussai, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Brecksville, OH
NPI 1679922017 · NPPES record last updated Feb 2, 2021
Key facts
- NPI
- 1679922017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- APRN.CNP.019784 (OH)
- Practice address
- 6802 W Snowville Rd Ste B
Brecksville, OH 44141-3296 - Phone
- (216) 831-6611
- Fax
- (216) 831-2726
- NPI assigned
- Jun 7, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Greenbrook TMS Cleveland LLC
Psychological and Behavioral Consultants LLC
Practice addresses (Care Compare)
23240 Chagrin Blvd
Suite 135
Beachwood, OH 44122-5455
Phone (855) 940-4867
3560 W Market St
Suite 205
Fairlawn, OH 44333-2688
Phone (855) 940-4867
4807 Rockside Rd
Suite 450
Independence, OH 44131-2192
Phone (855) 940-4867
6802 W Snowville Rd
Suite B
Brecksville, OH 44141-3296
Phone (216) 831-6611
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170216000901 | OH | Practitioner - Nurse Practitioner | 5597048504 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.019784 | OH | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychological & Behavioral Consultants, LLC | Current |
Accepting new patients |
Locations
6802 W Snowville Rd
Ste B
Brecksville, OH 44141
Phone (440) 260-8528
822 Kumho Dr
Ste 101
Fairlawn, OH 44333
Phone (330) 576-0126
25111 Country Club Blvd
Ste 290
North Olmsted, OH 44070
Phone (440) 614-2520
Interoperability endpoints
- pbc.robertussai@140094.advancedmd-direct.com
- robert.ussai.1@18773.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN.CNP.019784 | OH | Yes |
Addresses
Primary practice location
6802 W Snowville Rd Ste B
Brecksville, OH 44141-3296
Mailing address
340 South Broadway Street
Akron, OH 44308
NPI Registry JSON
{
"created_epoch": "1465257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612224000000",
"number": "1679922017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 SOUTH BROADWAY STREET",
"city": "AKRON",
"state": "OH",
"postal_code": "44308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6802 W SNOWVILLE RD STE B",
"city": "BRECKSVILLE",
"state": "OH",
"postal_code": "441413296",
"telephone_number": "216-831-6611",
"fax_number": "216-831-2726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "USSAI",
"first_name": "ROBERT",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-07",
"last_updated": "2021-02-02",
"certification_date": "2021-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OH",
"license": "APRN.CNP.019784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brecksville, OH
- Kathryn Fleming Turk
- Androniki Umina
- University Primary Care Practices
- University Primary Care Practices Inc
- Arif S Usmani
- VA
- Stephanie Ann Vacula
- Paulina A Vales
- Ty Vander Weit
- Carli Velbeck
All providers in Brecksville, OH · Psychiatric/Mental Health Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.