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Brieanna Pennington

Physician β€’ Mentor, OH

Deactivated NPI 1598436990 Deactivated in NPPES Female Practitioner
Practice location in NPPES

8445 Munson Rd
Mentor, OH 440602410

Phone: 4402551700

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of November 15, 2023; the reason is not published. The records below are historical. They do not show whether Brieanna Pennington currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date September 24, 2021
NPI Deactivation Date November 15, 2023
NPI Active Period 2021 – 2023

Practice Location & Contact Primary Location

Practice Address

8445 Munson Rd

Mentor, OH 440602410

Telephone 4402551700
Fax 4402052417
Organization at the Same NPPES Address or Phone
Crossroads Health Facility NPI 1356303911

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Mentor and Ohio

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Community/Behavioral Health Primary Specialty

NUCC Taxonomy Code: 251S00000X

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Matthew Dietz , PMHNP-BC, RN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1043712862

Psychiatric-Mental Health Nurse Practitioner (Board Certified), Registered Nurse

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated November 15, 2023

NPPES lists this NPI as deactivated as of November 15, 2023; the reason is not published.

βœ…
NPI Profile Active September 24, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 24, 2021

Registered at 8445 MUNSON RD, MENTOR, OH 440602410 (Tel: 4402551700)

πŸ“
Business Mailing Address (Initial Record) September 24, 2021

Registered at 8445 MUNSON RD, MENTOR, OH 440602410 (Tel: 4402551700)

πŸ‘€
Provider Name / Credentials (Initial Record) September 24, 2021

Recorded as BRIEANNA PENNINGTON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2021

Community/Behavioral Health

🟒
Initial NPI Registration & Enumeration September 24, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1598436990
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 24, 2021
Last Update: September 24, 2021
Deactivation Date: November 15, 2023

Mailing Address

8445 Munson Rd

Mentor, OH 440602410

Phone: 4402551700

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.