Domenic Joseph Cancilla
PMHNP-BC | Nurse Practitioner - Psych/Mental Health | 5+ years Exp
2005 Ashland Ave, Toledo
Ohio, 43620-1703
419-841-7701
Domenic Joseph Cancilla is a Toledo, Ohio based nurse practitioner with 5 years of experience as Psych/Mental Health NP. He completed his graduation in 2021. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Domenic Joseph Cancilla is APRN.CNP.0030043 for Psych/Mental Health NP in Ohio. His current practice location is 2005 Ashland Ave, Toledo. Patients can reach him at 419-841-7701 or can fax him at 419-841-1691. Domenic Joseph Cancilla is PMHNP-BC with specialization in Psych/Mental Health NP and his NPI number (Unique professional ID assigned by NPPES) is 1487318713.
Domenic Joseph Cancilla provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Domenic Joseph Cancilla speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Domenic Joseph Cancilla |
| Specialization: | Nurse Practitioner - Psych/Mental Health (PMHNP) |
| Gender: | Male |
| Credentials: | PMHNP-BC |
| Experience: | 5+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2021 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 2005 Ashland Ave, Toledo,
Ohio, 43620-1703 |
| Phone: | 419-841-7701 |
| Fax: | 419-841-1691 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 1658760368 |
| Enrollment ID: | I20211118002725 |
| NPI Number: | 1487318713 |
| NPI Enumeration Date: | 22 Oct, 2021 |
| NPI Last Update On: | 27 Jun, 2024 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Domenic Joseph Cancilla are as mentioned below.
| License Number | Specialization | State | Status | |
| APRN.CNP.0030043 | Psych/Mental Health NP | Ohio | Primary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Domenic Joseph Cancilla is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Mercy Health Physicians North Specialty Care Llc (1951707884) | 255 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Domenic Joseph Cancilla
2005 Ashland Ave,
Toledo, Ohio |
| Zip: | 43620-1703 |
| Phone Number: | 419-841-7701 |
| Fax Number: | 419-841-1691 |
Patients can reach Domenic Joseph Cancilla at
2005 Ashland Ave, Toledo, Ohio or can
call to book an appointment on 419-841-7701.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.