NPIMap

Organization Active NPI

State of Ohio Office of Budget and Management State Accounting

Doing business as Northwest Ohio Pyschiatric Hospital

  • Psychiatric Hospital
  • Toledo, OH
National Provider Identifier
1083688097
Registry record updated Feb 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
NA
Legal business name
STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING
Doing business as
Northwest Ohio Pyschiatric Hospital
Practice address
930 S Detroit Ave
Toledo, OH 43614-2701
Phone
(419) 381-1881
Fax
(419) 389-1361
NPI assigned
Feb 15, 2006
Last updated
Feb 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2015

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

Authorized official

Name
Mr. David Colletti
Title
Deputy Director
Phone
(614) 452-4343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X NA Primary

Addresses

Primary practice location

930 S Detroit Ave
Toledo, OH 43614-2701

Mailing address

30 E Broad St
11TH FL, Attn:Betty Taylor
Columbus, OH 43215-3414
Phone (614) 728-2546

Other names 1

  • Northwest Ohio Pyschiatric Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031202000209 OH Part B Supplier - Clinic/Group Practice 0143133181 Receives reassigned benefits from 261 practitioners
28 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Northfield, OH; Youngstown, OH; Toledo, OH; Tiffin, OH; Mt Vernon, OH; Mineral Ridge, OH; Massillon, OH; Huber Heights, OH…
O20061121000036 OH Part A Provider - Hospital 0143133181 Practice locations: Toledo, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083688097. Details of each certification follow.

Hospital certification: CCN 364014

Legal name
STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING
Doing business as
NORTHWEST OHIO BEHAVIORAL HEALTHCARE
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Jul 1, 1966
Last certification
Mar 8, 2017
Beds
114
Ownership / control type
State
Organization structure
GovernmentNon-profit
Enrollment address
930S Detroit Ave
Toledo, OH 43614-2701
Other Hospital Practice Location
Hospital subgroups
Psychiatric

Other NPIs with the same Medicare PAC ID 7

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

Other NPIs on the same Medicare enrollment 26

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 26

Care Compare: Hospital

Medicare Care Compare
Listed as
Northwest Ohio Psychiatric HospitalCCN 364014 · All quality measures
Type
Psychiatric
Ownership
Government - State
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Tiffin Developmental Center39 organizations share this tax ID, including this one

Other organizations with this tax ID 38

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

View all 38

Locations

930 S Detroit Ave
Toledo, OH 43614
Phone (419) 381-1881

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
State of Ohio Office of Budget and Management State Accounting Organization, Toledo, OH Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 1993 100%
Joshua Sargent Individual W-2 Managing EmployeeFinancial Analyst Supervisor Jul 1, 2024
Scott Geib Individual Operational/Managerial ControlRevenue Manager Sep 26, 2025
Jackie Davis Individual Operational/Managerial ControlSenior Financial Analyst Sep 26, 2025

Owners & managing parties with NPI records 7

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Central Ohio Behavioral HealthcareColumbus, OH, CCN 364007 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1993
Northcoast Behavioral Healthcare Northfield CampusNorthfield, OH, CCN 364011 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 1993
Jan 1, 1993
Appalachian Behavioral Health CareAthens, OH, CCN 364015 Hospital Operational/Managerial Control (100%) Jan 1, 1993
Heartland Behavioral HealthcareMassillon, OH, CCN 364031 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 1993
Jan 1, 1993
Summit Behavioral HealthcareCincinnati, OH, CCN 364035 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 1993
Jan 1, 1993
Ohio Veterans Home - GeorgetownGeorgetown, OH, CCN 366351 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Direct Ownership Interest (100%)		 Nov 15, 2003
Nov 15, 2003
Nov 15, 2003
Ohio Veterans Home AgencySandusky, OH, CCN 366325 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Direct Ownership Interest (100%)		 Jan 1, 1996
Feb 28, 2003
Feb 28, 2003

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 7

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424131200000",
    "number": "1083688097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 E BROAD ST",
            "address_2": "11TH FL, ATTN:BETTY TAYLOR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432153414",
            "telephone_number": "614-728-2546",
            "fax_number": "614-644-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 S DETROIT AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142701",
            "telephone_number": "419-381-1881",
            "fax_number": "419-389-1361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-15",
        "last_updated": "2015-02-17",
        "status": "A",
        "authorized_official_last_name": "COLLETTI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DEPUTY DIRECTOR",
        "authorized_official_telephone_number": "614-452-4343",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Ohio Pyschiatric Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.