Individual provider · Type 1 NPI

Matthew Dietz, PMHNP-BC, RN

Psychiatric/Mental Health Nurse Practitioner · Mentor, OH

NPI number 1043712862 Active

Practice location

9220 Mentor Ave
Mentor, OH 44060-6412

Fax (877) 242-9583

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X854944 (TX)
Psychiatric/Mental Health Nurse Practitioner 363LP0808XRN394717 (OH)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAP143192 (TX)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1043712862

Matthew Dietz, PMHNP-BC, RN's National Provider Identifier is 1043712862, issued on Mar 7, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Mentor, OH. The record was last updated on Jun 9, 2026.