Organization Active NPI

Stresscare Behavioral Health, Inc.

  • Cognitive & Behavioral Psychologist
  • Toledo, OH
National Provider Identifier
1295868651
Registry record updated Mar 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
3680 Issued in OH
Legal business name
STRESSCARE BEHAVIORAL HEALTH, INC.
Practice address
3840 Woodley Rd.
Suite a
Toledo, OH 43606
Phone
(419) 531-3500
Fax
(419) 531-1877
NPI assigned
Mar 14, 2007
Last updated
Mar 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2016

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

Authorized official

Name
Glenn I Swimmer, PH.D.NPI 1073660833
Title
President
Phone
(419) 531-3500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X 3680 OH Primary

Addresses

Primary practice location

3840 Woodley Rd.
Suite a
Toledo, OH 43606

Mailing address

3840 Woodley Road
Suite a
Toledo, OH 43606
Phone (419) 531-3500

Other identifiers 1

IdentifierTypeStateIssuer
0911811MedicaidOH

National Provider Directory

National Provider Directory

Locations

3425 Executive Pkwy
Ste 230
Toledo, OH 43606
Phone (419) 531-3500

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1295868651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 WOODLEY ROAD",
            "address_2": "SUITE A",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43606",
            "telephone_number": "419-531-3500",
            "fax_number": "419-531-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 WOODLEY RD.",
            "address_2": "SUITE A",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43606",
            "telephone_number": "419-531-3500",
            "fax_number": "419-531-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRESSCARE BEHAVIORAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "SWIMMER",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-531-3500",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "OH",
            "license": "3680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0911811",
            "state": "OH"
        }
    ],
    "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 Mar 29, 2016; 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.