Provider Demographics
NPI:1437816576
Name:HILL, BRANDY S (PMHNP)
Entity Type:Individual
Prefix:
First Name:BRANDY
Middle Name:S
Last Name:HILL
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:BRANDY
Other - Middle Name:
Other - Last Name:DRISCOLL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PMNHP
Mailing Address - Street 1:16690 GENEVA ST
Mailing Address - Street 2:
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44023-3708
Mailing Address - Country:US
Mailing Address - Phone:216-258-2212
Mailing Address - Fax:
Practice Address - Street 1:4199 MILLPOND DR
Practice Address - Street 2:
Practice Address - City:HIGHLAND HILLS
Practice Address - State:OH
Practice Address - Zip Code:44122-5731
Practice Address - Country:US
Practice Address - Phone:216-302-3070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-23
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH425639163W00000X
OHCNP.0032445363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0473680Medicaid
1437816576OtherNPI