=====================================================
General NPI Number Information
=====================================================
NPI Number | 1063337731
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | BRITTANY SCHILLACI
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/12/2026
-----------------------------------------------------
Last Update Date | 08/12/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4429 WARREN SHARON RD
-----------------------------------------------------
City | VIENNA
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44473-9644
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-637-3500
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4429 WARREN SHARON RD
-----------------------------------------------------
City | VIENNA
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44473-9644
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-637-3500
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103T00000X
-----------------------------------------------------
Taxonomy Name | Psychologist
-----------------------------------------------------
License Number | LSP.01494
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------