Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shady Hamdallah

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1316750235

Shady Hamdallah is a Nurse Practitioner in Middleburg Heights, Ohio. Qualified in 2024, 2 years ago. Practices with Viaquest Psychiatric and Behavioral Solutions LLC, a 119-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
2
Licensed in
OH
In the registry since
2025
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Practice location Address checks out

7271 Engle Rd Ste 307
Middleburg Heights, OH 44130-8404
Phone: (216) 750-2600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN.CNP.0037116 (OH)

Record details

NPI number1316750235
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 27, 2025
Last updated in NPPESJanuary 27, 2025
Certification dateJanuary 27, 2025
Mailing address308 Lake Breeze Cv, Eastlake, OH 44095-1964

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Viaquest Psychiatric And Behavioral Solutions Llc — 119 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Middleburg Heights