Ohio Behavioral Diversion & Treatment Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

OHIO BEHAVIORAL DIVERSION & TREATMENT CENTER

Practice address

2140 Wyndhurst Rd Apt 2
Toledo, OH 43607-1388

Phone

(567) 297-9621

NPI assigned

Jul 17, 2023

Last updated

Jul 17, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Bradley Higgs, LSW, LCDC IIINPI 1215464896

Title

Owner/Ceo

Phone

(567) 203-3375

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, and the practitioner matching its NPPES authorized official.

• Bradley William Higgs, LCDCIII

  • Social Worker
  • Maumee, OH
  • NPI 1215464896
  NPD Authorized official

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1366121386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 WYNDHURST RD APT 2",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436071388",
            "telephone_number": "567-297-9621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 WYNDHURST RD APT 2",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436071388",
            "telephone_number": "567-297-9621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO BEHAVIORAL DIVERSION & TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "HIGGS",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "567-203-3375",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LSW, LCDC III"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Ogunnaya, MD,MPH
• Opeyemi Oguntuase
• Adesola Akinwunmi Oguntunde
• Nonye C Ogwuegbu, PHARMD
• Martha Ohashi, RN
• Ohio CVS Stores LLC (CVS Pharmacy# 10246)
• Ohio CVS Stores LLC (CVS Pharmacy #16165)
• Ohio CVS Stores LLC (CVS Pharmacy #11155)
• Ohio Dental Partners (Wheeler Orthodontics)
• Ohio Dental Professionals, Delisle, P.C. (Toledo Family Dental Care)

• Community/Behavioral Health Agency in Toledo, OH
• Providers in Toledo, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.