| Stresscare Behavioral Health, Inc. | |
|
3840 Woodley Rd. Suite A Toledo OH 43606 | |
| (419) 531-3500 | |
| (419) 531-1877 |
| Full Name | Stresscare Behavioral Health, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 3840 Woodley Rd., Toledo, Ohio |
| Authorized Official Name and Position | Glenn I Swimmer (PRESIDENT) |
| Authorized Official Contact | 4195313500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stresscare Behavioral Health, Inc. 3840 Woodley Road Suite A Toledo OH 43606 Ph: (419) 531-3500 | Stresscare Behavioral Health, Inc. 3840 Woodley Rd. Suite A Toledo OH 43606 Ph: (419) 531-3500 |
| NPI Number | 1295868651 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 03/29/2016 |
| Medicare PECOS PAC ID | 6608866413 |
|---|---|
| Medicare Enrollment ID | O20040513001608 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295868651 | NPI | - | NPPES |
| 0911811 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | 3680 (Ohio) | Primary |
| Provider Name | Glenn I Swimmer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073660833 PECOS PAC ID: 7517957327 Enrollment ID: I20120301000544 |
| 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 | Rachel Chandley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417483975 PECOS PAC ID: 6800165564 Enrollment ID: I20170712000995 |
| Provider Name | Michael Kimball |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316375595 PECOS PAC ID: 8123381175 Enrollment ID: I20181106002102 |
| Provider Name | Kristin Holder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841708021 PECOS PAC ID: 7315282191 Enrollment ID: I20181226000619 |
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