Active NPI
Provider Behavioral Health
- Primary Care Nurse Practitioner
- Strongsville, OH
National Provider Identifier
1750291613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rachel Petrick, CNP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 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 DirectoryPractitioners & 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.
-
- Adult Health Nurse Practitioner
- Strongsville, OH
- NPI 1740418060
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.