NPIMap

Organization Active NPI

Talbot Clinical Services of Ohio LLC

  • Community/Behavioral Health Agency
  • Toledo, OH
National Provider Identifier
1053902007
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TALBOT CLINICAL SERVICES OF OHIO LLC
Practice address
732 Main St
Toledo, OH 43605-2397
Phone
(419) 691-0600
Fax
(419) 691-0600
NPI assigned
Feb 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Olivia Marie Dunbar, LISWNPI 1164915708
Title
Ceo
Phone
(517) 499-9207

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

732 Main St
Toledo, OH 43605-2397

Mailing address

732 Main St
Toledo, OH 43605-2397
Phone (419) 691-0600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220224001104 OH Part B Supplier - Clinic/Group Practice 9032422860 Receives reassigned benefits from 28 practitioners
Practice locations: Chillicothe, OH; Mansfield, OH; Toledo, OH

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Autumn Treatment Center LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5500 Ridge Rd
Ste 213
Parma, OH 44129
Phone (440) 886-2300

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 31

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752710400000",
    "number": "1053902007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 MAIN ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436052397",
            "telephone_number": "419-691-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 MAIN ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436052397",
            "telephone_number": "419-691-0600",
            "fax_number": "419-691-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALBOT CLINICAL SERVICES OF OHIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-02",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A",
        "authorized_official_last_name": "DUNBAR",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "517-499-9207",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.