NPIMap

Organization Active NPI

Brio Neurobehavioral Consultants

  • Child & Adolescent Psychiatry Physician
  • Medina, OH
National Provider Identifier
1801180401
Registry record updated Jun 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
5341 Issued in OH
Legal business name
BRIO NEUROBEHAVIORAL CONSULTANTS
Practice address
3567 Reserve Commons Dr
Suite 125
Medina, OH 44256-5323
Phone
(330) 321-3408
Fax
(330) 952-2700
NPI assigned
Jun 1, 2011
Last updated
Jun 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2011

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

Authorized official

Name
George PallottaNPI 1295767341
Title
Owner
Phone
(330) 321-3408

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 5341 OH Primary

Addresses

Primary practice location

3567 Reserve Commons Dr
Suite 125
Medina, OH 44256-5323

Mailing address

3567 Reserve Commons Dr
Suite 125
Medina, OH 44256-5323
Phone (330) 321-3408

National Provider Directory

National Provider Directory

Locations

3567 Reserve Commons Dr
Ste 125
Medina, OH 44256
Phone (330) 321-3408

Practitioners & affiliated clinicians

Practitioners 2

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": "1306886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306886400000",
    "number": "1801180401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3567 RESERVE COMMONS DR",
            "address_2": "SUITE 125",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442565323",
            "telephone_number": "330-321-3408",
            "fax_number": "330-952-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3567 RESERVE COMMONS DR",
            "address_2": "SUITE 125",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442565323",
            "telephone_number": "330-321-3408",
            "fax_number": "330-952-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIO NEUROBEHAVIORAL CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-01",
        "last_updated": "2011-06-01",
        "status": "A",
        "authorized_official_last_name": "PALLOTTA",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-321-3408"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OH",
            "license": "5341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; 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.