NPIMap

Organization Active NPI

Sophos Wellness Center, LLC

  • Clinical Psychologist
  • Findlay, OH
National Provider Identifier
1396989901
Registry record updated Apr 27, 2009
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Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6028 Issued in OH
Legal business name
SOPHOS WELLNESS CENTER, LLC
Practice address
500 N Main St
Findlay, OH 45840-3544
Phone
(419) 423-3292
NPI assigned
Apr 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2009

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

Authorized official

Name
Mary Goebel-Komala, PHD
Title
Owner
Phone
(419) 423-3292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 6028 OH Primary

Addresses

Primary practice location

500 N Main St
Findlay, OH 45840-3544

Mailing address

PO Box 8440
Toledo, OH 43623-0440
Phone (419) 885-0200

National Provider Directory

National Provider Directory

Locations

500 N Main St
Findlay, OH 45840
Phone (419) 423-3292

NPI Registry JSON

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

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240790400000",
    "number": "1396989901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8440",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436230440",
            "telephone_number": "419-885-0200",
            "fax_number": "419-885-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N MAIN ST",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458403544",
            "telephone_number": "419-423-3292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOPHOS WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-27",
        "last_updated": "2009-04-27",
        "status": "A",
        "authorized_official_last_name": "GOEBEL-KOMALA",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-423-3292",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "6028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Findlay, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; 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.