NPIMap

Organization Active NPI

Reynolds Behavioral Health LLC

  • Psychiatry Physician
  • Toledo, OH
National Provider Identifier
1164081063
Registry record updated Jun 13, 2019
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Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
REYNOLDS BEHAVIORAL HEALTH LLC
Practice address
1649 N Reynolds Rd
Toledo, OH 43615-3625
Phone
(419) 754-4494
Fax
(419) 754-6217
NPI assigned
Jun 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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

Authorized official

Name
Theodor B Rais, MD
Title
Owner
Phone
(419) 754-4494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1649 N Reynolds Rd
Toledo, OH 43615-3625

Mailing address

1649 N Reynolds Rd
Toledo, OH 43615-3625
Phone (419) 754-4494

National Provider Directory

National Provider Directory

Locations

1649 N Reynolds Rd
Toledo, OH 43615
Phone (419) 754-4494

NPI Registry JSON

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560384000000",
    "number": "1164081063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1649 N REYNOLDS RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436153625",
            "telephone_number": "419-754-4494",
            "fax_number": "419-754-6217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1649 N REYNOLDS RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436153625",
            "telephone_number": "419-754-4494",
            "fax_number": "419-754-6217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYNOLDS BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-13",
        "last_updated": "2019-06-13",
        "status": "A",
        "authorized_official_last_name": "RAIS",
        "authorized_official_first_name": "THEODOR",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-754-4494",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "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 Jun 13, 2019; 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.