Individual provider Active NPI

Shuvajit Das, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Toledo, OH
National Provider Identifier
1538837679
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
CNP.0032151 Issued in OH
Practice address
1425 Starr Ave
Toledo, OH 43605-2456
Phone
(419) 794-0567
NPI assigned
Sep 2, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 457394 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP.0032151 OH Primary

Addresses

Primary practice location

1425 Starr Ave
Toledo, OH 43605-2456

Mailing address

1425 Starr Ave
Toledo, OH 43605-2456
Phone (419) 794-0567

Other practice location 1

5577 Airport Hwy Ste 200
Toledo, OH 43615-7364
Phone (419) 720-0442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221102001329 OH Practitioner - Nurse Practitioner 9537536628 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Personal Growth Counseling Services LLCGroup PAC ID 1951776582, 4 clinicians

Practice addresses (Care Compare)

5577 Airport Hwy
Suite 200
Toledo, OH 43615-7364
Phone (419) 720-0442

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
457394OHMDRegistered Nurse
CNP.0032151OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Growth Counseling Services LLC CurrentSince May 21, 2025 Accepting new patients
Comprehensive Behavioral Health Services LLC CurrentSince Sep 7, 2022 Accepting new patients
Unison Behavioral Health Group, Inc. CurrentSince May 27, 2024 Accepting new patients
Personal Growth Counseling Services LLC CurrentSince May 21, 2025 Accepting new patients
Unison Behavioral Health Group, Inc Past Accepting new patients

Locations

2770 Centennial Rd
Toledo, OH 43617
Phone (419) 794-0567

1425 Starr Ave
Toledo, OH 43605
Phone (419) 259-4506

5577 Airport Hwy
Ste 200
Toledo, OH 43615
Phone (419) 720-0442

544 E Woodruff Ave
Toledo, OH 43604
Phone (419) 214-4673

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1538837679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 STARR AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436052456",
            "telephone_number": "419-794-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 STARR AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436052456",
            "telephone_number": "419-794-0567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5577 Airport Hwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436157364",
            "country_code": "US",
            "telephone_number": "419-720-0442",
            "fax_number": "419-754-2085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAS",
        "first_name": "SHUVAJIT",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-02",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "457394",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "CNP.0032151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.