Individual provider Active NPI

Carol Manders Cardello, CNS APRN BC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Middleburg Heights, OH
National Provider Identifier
1710072723
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
NS02515 Issued in OH
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

Updated by the provider on Aug 18, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
RN160804OHMDAdult Psychiatric/Mental Health Registered Nurse
NS02515OHMDClinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance Counseling Service Inc. PastSince Jan 1, 2023 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.

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.

Verify at the official NPI Registry.