Organization Active NPI

Zubin J. Mistry & Associates

  • Clinical Psychologist
  • Toledo, OH
National Provider Identifier
1578749230
Registry record updated Jul 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5423 Issued in OH
Legal business name
ZUBIN J. MISTRY & ASSOCIATES
Practice address
3536 Glendale Ave
Toledo, OH 43614-3454
Phone
(419) 380-0400
Fax
(419) 380-9106
NPI assigned
Jan 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2012

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

Authorized official

Name
Dr. Zubin Jimmy Mistry, PH.D.NPI 1841338613
Title
Owner
Phone
(419) 380-0400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 5423 OH Primary

Addresses

Primary practice location

3536 Glendale Ave
Toledo, OH 43614-3454

Mailing address

3536 Glendale Ave
Toledo, OH 43614-3454
Phone (419) 380-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051116000559 OH Part B Supplier - Clinic/Group Practice 0345269676 Receives reassigned benefits from 1 practitioner
Practice locations: Toledo, OH

National Provider Directory

National Provider Directory

Locations

3536 Glendale Ave
Toledo, OH 43614
Phone (419) 380-0400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1200096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343520000000",
    "number": "1578749230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3536 GLENDALE AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436143454",
            "telephone_number": "419-380-0400",
            "fax_number": "419-380-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3536 GLENDALE AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436143454",
            "telephone_number": "419-380-0400",
            "fax_number": "419-380-9106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZUBIN J. MISTRY & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-12",
        "last_updated": "2012-07-29",
        "status": "A",
        "authorized_official_last_name": "MISTRY",
        "authorized_official_first_name": "ZUBIN",
        "authorized_official_middle_name": "JIMMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-380-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "5423",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.