Organization Active NPI

Provider Behavioral Health

  • Primary Care Nurse Practitioner
  • Strongsville, OH
National Provider Identifier
1750291613
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
PROVIDER BEHAVIORAL HEALTH
Practice address
15400 Pearl Rd Ste 238
Strongsville, OH 44136-6000
Phone
(440) 879-1258
Fax
(440) 334-5403
NPI assigned
Sep 11, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Authorized official

Name
Rachel Petrick, CNPNPI 1740418060
Title
Tax Id Owner
Phone
(440) 879-1258

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

15400 Pearl Rd Ste 238
Strongsville, OH 44136-6000

Mailing address

15400 Pearl Rd Ste 238
Strongsville, OH 44136-6000
Phone (440) 879-1258

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1789084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789084800000",
    "number": "1750291613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15400 PEARL RD STE 238",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441366000",
            "telephone_number": "440-879-1258",
            "fax_number": "440-334-5403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15400 PEARL RD STE 238",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441366000",
            "telephone_number": "440-879-1258",
            "fax_number": "440-334-5403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDER BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-11",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A",
        "authorized_official_last_name": "PETRICK",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "TAX ID OWNER",
        "authorized_official_telephone_number": "440-879-1258",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Strongsville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.