Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Domenic Joseph Cancilla, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1487318713

Domenic Joseph Cancilla, PMHNP-BC is a Nurse Practitioner in Toledo, Ohio. Qualified in 2021, 5 years ago. Practices with Zepf Center, a 42-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
5
Licensed in
OH
In the registry since
2021
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

2005 Ashland Ave
Toledo, OH 43620-1703
Phone: (419) 841-7701
Fax: (419) 841-1691
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2600 Navarre Ave, Oregon, OH 43616-3207 — (419) 696-8800

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN.CNP.0030043 (OH)

Record details

NPI number1487318713
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedOctober 22, 2021
Last updated in NPPESJune 27, 2024
Certification dateJune 27, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Zepf Center — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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