Healthcare Provider Details

I. General information

NPI: 1598676983
Provider Name (Legal Business Name): BENJAMIN JOSEPH RICHIUTTI APRN, PMHNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2410 MASSILLON RD
AKRON OH
44312-4258
US

IV. Provider business mailing address

5445 SMITH RD
BROOKPARK OH
44142-2026
US

V. Phone/Fax

Practice location:
  • Phone: 330-269-5492
  • Fax:
Mailing address:
  • Phone: 216-453-1112
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberAPRN.CNP.0042453
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: