| Anxiety Treatment Center Of Greater Toledo Llc | |
|
1070 Commerce Dr Bldg 2301 Perrysburg OH 43551-5236 | |
| (419) 265-8206 | |
| Not Available |
| Full Name | Anxiety Treatment Center Of Greater Toledo Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1070 Commerce Dr Bldg 2301, Perrysburg, Ohio |
| Authorized Official Name and Position | Elaine Bruckner (CLINICAL PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 4192658206 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anxiety Treatment Center Of Greater Toledo Llc 1070 Commerce Dr Bldg 2301 Perrysburg OH 43551-5236 Ph: (419) 265-8206 | Anxiety Treatment Center Of Greater Toledo Llc 1070 Commerce Dr Bldg 2301 Perrysburg OH 43551-5236 Ph: (419) 265-8206 |
| NPI Number | 1710539580 |
|---|---|
| Provider Enumeration Date | 07/11/2019 |
| Last Update Date | 07/11/2019 |
| Medicare PECOS PAC ID | 6507198199 |
|---|---|
| Medicare Enrollment ID | O20191031001842 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710539580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Elaine J Bruckner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063596567 PECOS PAC ID: 0648177436 Enrollment ID: I20031218000713 |
| Provider Name | Carissa Beth Wott |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548530561 PECOS PAC ID: 0941469852 Enrollment ID: I20120313000651 |
| Provider Name | Colleen E |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588000723 PECOS PAC ID: 3274830526 Enrollment ID: I20160331000662 |
| Provider Name | Jason Drummond |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922312107 PECOS PAC ID: 5496000952 Enrollment ID: I20180625001395 |
| Provider Name | Margaret Feuille Bockrath |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851758114 PECOS PAC ID: 5496009839 Enrollment ID: I20181121000803 |
| Provider Name | Erin E Bannon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700444593 PECOS PAC ID: 6709212004 Enrollment ID: I20200205001025 |
| Provider Name | Jennifer Emahiser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548589088 PECOS PAC ID: 1153789946 Enrollment ID: I20230627001443 |
| Provider Name | Annette Mahoney |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215140421 PECOS PAC ID: 3173951498 Enrollment ID: I20230707001235 |
| Provider Name | William Emahiser |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881680007 PECOS PAC ID: 0244675775 Enrollment ID: I20240223003231 |
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