PREMIER BEHAVIORAL HEALTH SERVICES, LLC
NPI 1184869786
Psychologist - Clinical in Mentor, OH

Active since December 10, 2008CLIA 36D2074565 · Waiver
8701 MENTOR AVE, MENTOR, OH 44060(440) 266-0770(440) 266-0257 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 12, 2025, Jan 31, 2020 (2 updates tracked since 2020).

About Premier Behavioral Health Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMIER BEHAVIORAL HEALTH SERVICES, LLC (NPI 1184869786) is a healthcare organization registered as a clinical in Mentor, Ohio and active in the NPI registry since December 2008. The organization holds a CLIA Waiver certificate valid through March 11, 2028 and lists Roberta Ursetti, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1184869786
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NamePREMIER BEHAVIORAL HEALTH SERVICES, LLC
Location Address8701 MENTOR AVEMentor, OH 44060-6103
Mailing Address8701 Mentor AveMentor, OH 44060-6103 · (440) 266-0770 · Fax (440) 266-0257
Fax(440) 266-0257
Organization SubpartNo
Authorized OfficialRoberta UrsettiDirector Of Operations · (440) 266-0770
Enumeration DateDecember 10, 2008
Last NPPES UpdateFebruary 12, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2026
✔ NPI 1184869786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in OH · 6237
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedClinical NeuropsychologistTaxonomy 103G00000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
8701 MENTOR AVE, Mentor, OH 44060

Other Identifiers 1

Medicaid2923064OH

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Premier Behavioral Health Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Premier Behavioral Health Services, LLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Clinical Psychologist
NPI 1619004322
8701 MENTOR AVE
Mentor, OH 44060
(440) 266-0770
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1982174702
8701 MENTOR AVE
Mentor, OH 44060
(440) 266-0770
✔ PECOSSame address
Nurse Practitioner
NPI 1174078638
8701 MENTOR AVE
Mentor, OH 44060
(440) 266-0770
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1578965109
8701 MENTOR AVE
Mentor, OH 44060
(440) 266-0770
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1578702510
8701 MENTOR AVE
Mentor, OH 44060
(440) 266-0770
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1679938500
8701 MENTOR AVE
Mentor, OH 44060
(440) 266-0770
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1124228523
9220 MENTOR AVE BEACON HEALTH
Mentor, OH 44060
(440) 639-3509
✔ PECOS0.9 mi
Nurse Practitioner
NPI 1679086227
1 PERKINS SQ
Akron, OH 44308
(330) 921-9042
✔ PECOS✔ Accepts Medicare42 mi
Psychiatry
NPI 1538320601
19 FORT EVANS RD NE STE C
Leesburg, VA 20176
(703) 737-2110
✔ PECOS✔ Accepts Medicare267 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2074565

Premier Behavioral Health Services · Mentor, OH
Active · expires Mar 11, 2028
CLIA Number36D2074565
Laboratory TypePhysician Office
Certificate Effective DateMarch 12, 2026
Certificate Expiration DateMarch 11, 2028
Laboratory DirectorBahman Sharif
Laboratory Phone(440) 266-0770
Laboratory LocationPremier Behavioral Health Services8701 Mentor Ave, Mentor, OH 44060
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premier Behavioral Health Services, LLC's NPI number?

The NPI number for Premier Behavioral Health Services, LLC is 1184869786. It was assigned to this organization in the NPPES registry on December 10, 2008.

Where is Premier Behavioral Health Services, LLC located?

Premier Behavioral Health Services, LLC is located at 8701 Mentor Ave, Mentor, OH 44060. The listed phone number is (440) 266-0770.

What is Premier Behavioral Health Services, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Premier Behavioral Health Services, LLC enrolled in Medicare?

Yes. Premier Behavioral Health Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premier Behavioral Health Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Premier Behavioral Health Services, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Psychologist (4), Nurse Practitioner (3) and Psychiatry (2). Of these, 6 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Premier Behavioral Health Services, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2074565) is associated with this NPI, valid through March 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Premier Behavioral Health Services, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Oscar Health Insurance and Oscar Insurance Corporation of Ohio list Premier Behavioral Health Services, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Premier Behavioral Health Services, LLC was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.