Individual provider Active NPI

Pamela Denise Pardon, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lorain, OH
National Provider Identifier
1730425356
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.17264 Issued in OH
Practice address
5295 Oberlin Ave Ste a
Lorain, OH 44053-3454
Phone
(440) 444-1395
Fax
(440) 444-1127
NPI assigned
Dec 31, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.17264 OH Primary

Addresses

Primary practice location

5295 Oberlin Ave Ste a
Lorain, OH 44053-3454

Mailing address

PO Box 3702
Youngstown, OH 44513-3702
Phone (330) 798-0491

Other identifiers 1

IdentifierTypeStateIssuer
0133139MedicaidOH

Other names 1

  • Mrs. Pamela Denise Pardon Professional name

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
I20200327002651 OH Practitioner - Nurse Practitioner 0749593630 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Natura Behavioral Health LLCGroup PAC ID 7810350105, 16 clinicians
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

1207 W State St
Suite H
Alliance, OH 44601-4686
Phone (330) 798-0491

20 S 3Rd St
Suite 210
Columbus, OH 43215-4206
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Natura Behavioral Health LLC CurrentSince Aug 1, 2025 Accepting new patients
Portage Path Community Mental Health Center CurrentSince Aug 1, 2025 Accepting new patients
Sondermind Provider Network LLC Psychiatric/Mental Health CurrentSince Jan 16, 2024 Accepting new patients

Locations

340 S Broadway St
Akron, OH 44308
Phone (330) 253-3100

1207 W State St
Ste H
Alliance, OH 44601
Phone (330) 206-1290

3768 Boardman Canfield Rd
Ste 5
Canfield, OH 44406
Phone (330) 798-0491

20 S 3rd St
Ste 210
Columbus, OH 43215
Phone (614) 208-4973

Organizations & group practices 4

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": "1356912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1730425356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3702",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445133702",
            "telephone_number": "330-798-0491",
            "fax_number": "330-303-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5295 OBERLIN AVE STE A",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440533454",
            "telephone_number": "440-444-1395",
            "fax_number": "440-444-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARDON",
        "first_name": "PAMELA",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-31",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.17264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0133139",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "PARDON",
            "middle_name": "DENISE",
            "prefix": "MRS.",
            "credential": "REGISTERED NURSE MSN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lorain, OH

Sources for this page

Verify at the official NPI Registry.