Individual provider Active NPI

Mona Roufaeil

  • Psychiatric/Mental Health Nurse Practitioner
  • Brookpark, OH
National Provider Identifier
1861263337
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0037142 Issued in OH
Practice address
14827 Caryn Dr
Brookpark, OH 44142-3836
Phone
(216) 990-7905
NPI assigned
Jan 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.519754 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0037142 OH Primary

Addresses

Primary practice location

14827 Caryn Dr
Brookpark, OH 44142-3836

Mailing address

14827 Caryn Dr
Brookpark, OH 44142-3836

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
I20250604002656 OH Practitioner - Nurse Practitioner 1951810555 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Metrohealth SystemGroup PAC ID 8628982949, 1,150 clinicians
Greenbrook TMS Cleveland LLCGroup PAC ID 8921340415, 11 clinicians

Practice addresses (Care Compare)

2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone (216) 778-7800

4001 Whipple Ave NW
Suite 201
Canton, OH 44718-2977
Phone (855) 940-4867

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN.519754OHMDRegistered Nurse
APRN.CNP.0037142OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greenbrook TMS Cleveland LLC CurrentSince Mar 1, 2025 Accepting new patients
The Metrohealth System CurrentSince Feb 20, 2026 Accepting new patients
The Metrohealth System CurrentSince Feb 20, 2026 Accepting new patients

Locations

23240 Chagrin Blvd
Ste 135
Beachwood, OH 44122

4001 Whipple Ave NW
Ste 201
Canton, OH 44718
Phone (234) 759-9226

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

3560 W Market St
Ste 205
Fairlawn, OH 44333

33 Milford Dr
Ste 3
Hudson, OH 44236

4807 Rockside Rd
Ste 450
Independence, OH 44131
Phone 33091371090

24700 Center Ridge Rd
Ste 380
Westlake, OH 44145

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1861263337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14827 CARYN DR",
            "city": "BROOKPARK",
            "state": "OH",
            "postal_code": "441423836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14827 CARYN DR",
            "city": "BROOKPARK",
            "state": "OH",
            "postal_code": "441423836",
            "telephone_number": "216-990-7905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUFAEIL",
        "first_name": "MONA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-12",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.519754",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0037142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookpark, OH

Sources for this page

Verify at the official NPI Registry.