| Central Behavioral Healthcare Inc | |
|
5965 Renaissance Pl Suite 1 Toledo OH 43623-4709 | |
| (419) 882-5678 | |
| Not Available |
| Full Name | Central Behavioral Healthcare Inc |
|---|---|
| Speciality | Psychologist |
| Location | 5965 Renaissance Pl, Toledo, Ohio |
| Authorized Official Name and Position | Dennis W Kogut (PRESIDENT) |
| Authorized Official Contact | 4198825678 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Behavioral Healthcare Inc 5965 Renaissance Pl Suite 1 Toledo OH 43623-4709 Ph: (419) 882-5678 | Central Behavioral Healthcare Inc 5965 Renaissance Pl Suite 1 Toledo OH 43623-4709 Ph: (419) 882-5678 |
| NPI Number | 1902829880 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 02/28/2012 |
| Medicare PECOS PAC ID | 9931178092 |
|---|---|
| Medicare Enrollment ID | O20040927000632 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902829880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Diane M Derr Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194872952 PECOS PAC ID: 9133380058 Enrollment ID: I20120419000428 |
| Provider Name | Marsha C Drees |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922127182 PECOS PAC ID: 0547582868 Enrollment ID: I20141122000230 |
| Provider Name | William C Barron |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336687649 PECOS PAC ID: 6507141041 Enrollment ID: I20170323000724 |
| Provider Name | Rachel Chandley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417483975 PECOS PAC ID: 6800165564 Enrollment ID: I20170712000995 |
| Provider Name | Mark A Babula |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1831490564 PECOS PAC ID: 1557543337 Enrollment ID: I20230201000223 |
| Provider Name | Susan L Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528194651 PECOS PAC ID: 0749247336 Enrollment ID: I20231129003350 |
| Provider Name | Tara Best |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316289796 PECOS PAC ID: 0749638971 Enrollment ID: I20240503000229 |
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