Rachel Gombos LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

RACHEL GOMBOS LLC

Practice address

3454 Oak Alley CT Ste 201
Toledo, OH 43606-1370

Phone

(330) 401-1416

Fax

(855) 761-1502

NPI assigned

Nov 20, 2020

Organization subpart

No

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

Authorized official

Name

Rachel P Gardull, LISWNPI 1093226169

Title

Owner

Phone

(330) 401-1416

Specialties & licenses 1

Addresses

Practitioners 1

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

• Rachel Patricia Gardull, LISW

  • Social Worker
  • Toledo, OH
  • NPI 1093226169
  NPD Authorized official

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649635200000",
    "number": "1194328237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4532 289TH ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436111926",
            "telephone_number": "330-401-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3454 OAK ALLEY CT STE 201",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061370",
            "telephone_number": "330-401-1416",
            "fax_number": "855-761-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACHEL GOMBOS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-20",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A",
        "authorized_official_last_name": "GARDULL",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-401-1416",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig J Raberding, M.D.
• John Rabets, MD
• Sharafa Rabiu
• Anja Rabljenovic
• Heather Racette, PHARMD
• Zuleiha Ines Rachid
• Zoey Racho
• William J Rachwal, MD
• John C Radabaugh Jr., D.C.
• Jelena Radan, PHARM.D.

• Adult Mental Health Clinic/Center in Toledo, OH
• Providers in Toledo, OH by specialty
• Adult Mental Health Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.