Active NPI
Carol Manders Cardello, CNS APRN BC
- Psychiatric/Mental Health Clinical Nurse Specialist
- Middleburg Heights, OH
National Provider Identifier
1710072723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Clinical Nurse Specialist
- License
- NS02515
- Practice address
- 18660 East Bagley Road
Suite 405 Phase II
Middleburg Heights, OH 44130-8492 - Phone
- (440) 243-0530
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | RN160804 | OH | |
| Clinical Nurse Specialist | 364S00000X | NS02515 | OH | |
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | NS02515 | OH | Primary |
Addresses
Primary practice location
18660 East Bagley Road
Suite 405 Phase II
Middleburg Heights, OH 44130-8492
Mailing address
18660 East Bagley Road
Suite 405 Phase II
Middleburg Heights, OH 44130-8492
Phone (440) 243-0530
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN160804 | OH | MD | Adult Psychiatric/Mental Health Registered Nurse |
| NS02515 | OH | MD | Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renaissance Counseling Service Inc. | Past | Accepting new patients | |
| Advance Nurse Practitioners LLC | Past | Accepting new patients |
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.
-
- Licensed Practical Nurse
- Middleburg Heights, OH
- NPI 1609190321
-
- Psychiatry Physician
- Brecksville, OH
- NPI 1780779793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471478400000",
"number": "1710072723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18660 EAST BAGLEY ROAD",
"address_2": "SUITE 405 PHASE II",
"city": "MIDDLEBURG HEIGHTS",
"state": "OH",
"postal_code": "441308492",
"telephone_number": "440-243-0530",
"fax_number": "440-243-3351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18660 EAST BAGLEY ROAD",
"address_2": "SUITE 405 PHASE II",
"city": "MIDDLEBURG HEIGHTS",
"state": "OH",
"postal_code": "441308492",
"telephone_number": "440-243-0530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDELLO",
"first_name": "CAROL",
"middle_name": "MANDERS",
"credential": "CNS APRN BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2016-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "OH",
"license": "RN160804",
"primary": false
},
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "OH",
"license": "NS02515",
"primary": false
},
{
"code": "364SP0808X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
"state": "OH",
"license": "NS02515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middleburg Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.