Active NPI
Jeanne Marie Holup, MD
- Psychiatry Physician
- Perrysburg, OH
National Provider Identifier
1609802743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 35078158
- Practice address
- 885 Commerce Dr
Perrysburg, OH 43551-5267 - Phone
- (440) 234-2006
- NPI assigned
- Jun 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 35078158 | OH | Primary |
Addresses
Primary practice location
885 Commerce Dr
Perrysburg, OH 43551-5267
Mailing address
434 Eastland Rd
Berea, OH 44017-1217
Phone (440) 260-8327
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35078158 | OH | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sophia Counseling Center Inc | Past | Accepting new patients | |
| Ohioguidestone | Past | Accepting new patients | |
| Christian Care Connection LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Berea, OH
- NPI 1174680557
-
- Mental Health Counselor
- Lambertville, MI
- NPI 1205983038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635120000000",
"number": "1609802743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "434 EASTLAND RD",
"city": "BEREA",
"state": "OH",
"postal_code": "440171217",
"telephone_number": "440-260-8327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "885 COMMERCE DR",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435515267",
"telephone_number": "440-234-2006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLUP",
"first_name": "JEANNE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-23",
"last_updated": "2021-10-25",
"certification_date": "2021-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "35078158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Perrysburg, OH
- Wesley Bryant Hoffmire, L.I.S.W.
- Tasheena Hogue, BCBA
- Kathryn Hohman, OD
- Hold Fast Performance & Wellness
- Holiday Park Physical Rehabilitation
- Home Care Network, Inc
- Home Care Network, Inc. (Maternal Child Health of Home Care Network, Inc.)
- Home Care Network, Inc.
- Johnny C Hong, MD
- Hope Christian Counseling Center (Hope Counseling Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.