Renee Obrock

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

5726 Southwyck Blvd Ste 115
Toledo, OH 43614-1510

Phone

(419) 708-0441

NPI assigned

May 18, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Safe Haven Behavioral Health Services

  • Community/Behavioral Health Agency
  • Toledo, OH
  • NPI 1679922173
  NPD (past)

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1104563329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5726 SOUTHWYCK BLVD STE 115",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436141510",
            "telephone_number": "419-708-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5726 SOUTHWYCK BLVD STE 115",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436141510",
            "telephone_number": "419-708-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBROCK",
        "first_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-18",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alphonsus Osarobo Obayuwana, MD
• Ashley Rae Oberlin
• Chelsea M Oberneder, BSW, LSW
• Heather Oberneder, CNP
• Ifeanyi Christian Obiakalusi, M.D
• Brian Sigmund Obrycki, DO
• Observation Physicians of Northwest Ohio LLC
• Fidelis Obu, M.D
• Occuhealth
• Marshall Ochi, DO

• All providers in Toledo, OH
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.