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MR. STEPHEN RICHARD PESSEFALL NURSE PRACTITIONER NPI 1730413956


NPI Information

NPI: 1730413956
Provider Name: MR. STEPHEN RICHARD PESSEFALL, NURSE PRACTITIONER
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
18660 BAGLEY RD
MIDDLEBURG HEIGHTS, OH
ZIP 44130
Phone: (440) 234-8746
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MR. Stephen Richard Pessefall, NURSE PRACTITIONER is a psychiatric/mental health nurse practitioner in Middleburg Heights, OH. MR. Stephen Richard Pessefall, NURSE PRACTITIONER NPI is 1730413956. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

18660 BAGLEY RD
MIDDLEBURG HEIGHTS, OH
ZIP 44130-483
Phone: (440) 234-8746
Fax: (440) 234-8748

The NPI 1730413956 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychotherapy, 30 minutes (HCPCS:90833)
  • Psychiatric diagnostic evaluation with medical services (HCPCS:90792)

The enumeration date for this NPI number is 9/21/2009 and was last updated on 12/23/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163WP0809XRegistered NursePsychiatric/Mental Health, AdultRN249977OHIONo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthAPRN.CNP.021419OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.