Michael Kimball, PSYD | |
6635 W Central Ave, Toledo, OH 43617-1029 | |
(734) 693-0554 | |
(419) 517-1349 |
Full Name | Michael Kimball |
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Gender | Male |
Speciality | Psychologist - Clinical |
Location | 6635 W Central Ave, Toledo, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316375595 | NPI | - | NPPES |
0294590 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 07781 (Ohio) | Primary |
103TC0700X | Psychologist - Clinical | 6301014600 (Michigan) | Secondary |
Entity Name | Stresscare Behavioral Health, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295868651 PECOS PAC ID: 6608866413 Enrollment ID: O20040513001608 |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220604000326 |
Mailing Address | Practice Location Address |
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Michael Kimball, PSYD 7040 Monroe St, Sylvania, OH 43560-1923 Ph: (734) 454-3560 | Michael Kimball, PSYD 6635 W Central Ave, Toledo, OH 43617-1029 Ph: (734) 693-0554 |
Danielle R Delong, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 2109 Hughes Dr, Conrad-jobst Tower, Suite 640, Toledo, OH 43606 Phone: 419-291-8892 | |
Dr. Kathleen Frances Baird, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2249 Wildwood Blvd, Toledo, OH 43614 Phone: 419-382-5766 | |
Manali Roy, M.SC., MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2005 Ashland Ave, Toledo, OH 43620 Phone: 419-841-7701 | |
Dr. Janice Shirley Roberts, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2624 Pheasant Ln, Toledo, OH 43615 Phone: 419-885-1156 Fax: 419-885-1156 | |
Sarah Bush, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3901 Shadylawn Dr, Toledo, OH 43614 Phone: 419-671-2750 | |
Robert James Cooley, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 930 S Detroit Ave, Toledo, OH 43614 Phone: 419-381-1881 | |
Meredith Erwin, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1200 S Detroit Ave, Toledo, OH 43614 Phone: 419-259-2000 |