Active NPI
Jonathan Hugh Pansky, PHD
- Clinical Psychologist
- Toledo, OH
National Provider Identifier
1346365665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 4488
- Practice address
- 4334 Secor Rd
Toledo, OH 43623-4234 - Phone
- (419) 475-4449
- Fax
- (419) 479-3230
- NPI assigned
- Mar 20, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 4488 | OH | Primary |
Addresses
Primary practice location
4334 Secor Rd
Toledo, OH 43623-4234
Mailing address
4334 Secor Rd
Toledo, OH 43623-4234
Phone (419) 475-4449
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02104 | Other | PARAMOUNT HEALTH CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4488 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Court Diagnostic & Treatment Center | Past | Accepting new patients | |
| Harbor | Clinical | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Adult Mental Health Clinic/Center
- Toledo, OH
- NPI 1972568996
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Toledo, OH
- NPI 1366526782
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346365665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4334 SECOR RD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436234234",
"telephone_number": "419-475-4449",
"fax_number": "419-479-3230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4334 SECOR RD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436234234",
"telephone_number": "419-475-4449",
"fax_number": "419-479-3230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANSKY",
"first_name": "JONATHAN",
"middle_name": "HUGH",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "4488",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARAMOUNT HEALTH CARE",
"identifier": "02104",
"state": null
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.