Carissa Wott, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6875 Issued in OH

Practice address

830 W South Boundary St
Perrysburg, OH 43551

Phone

(419) 931-3020

Fax

(419) 931-3022

NPI assigned

Jan 6, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Carissa Coit Former name

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Anxiety Treatment Center of Greater Toledo LLCGroup PAC ID 6507198199, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Anxiety Treatment Center of Greater Toledo LLC

  • Clinical Psychologist
  • Perrysburg, OH
  • NPI 1710539580
  Medicare reassignment Care Compare group NPD
• Perrysburg Therapy LLC

  • Clinical Social Worker
  • Perrysburg, OH
  • NPI 1073054219
  NPD (past)

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1548530561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 W SOUTH BOUNDARY ST",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515238",
            "telephone_number": "419-931-3020",
            "fax_number": "419-931-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 W SOUTH BOUNDARY ST",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "43551",
            "telephone_number": "419-931-3020",
            "fax_number": "419-931-3022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5600 Monroe St",
            "address_purpose": "LOCATION",
            "city": "Sylvania",
            "state": "OH",
            "postal_code": "435602731",
            "country_code": "US",
            "telephone_number": "419-885-1910",
            "fax_number": "419-885-5060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOTT",
        "first_name": "CARISSA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-06",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "OH",
            "license": "6875",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "6875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARISSA",
            "last_name": "COIT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Deborah M Wong
• John Rolland Wood, OD
• Woodlands Psychological Services, LLC
• Samantha Woodward
• Lori J Worline, M.ED.
• Kuldip Wright, OTR/L
• Lauren M Wright, MA CCC-SLP
• Elizabeth Wymer, PT, DPT
• Clancy J. Yeager, PCC-S, LICDC
• Joel Yeasting, MD

• Clinical Psychologist in Perrysburg, OH
• Providers in Perrysburg, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.