Active NPI
Barbara Shaw Cuddeback, MD
- Psychiatry Physician
- Toledo, OH
National Provider Identifier
1669540597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 061414
- Practice address
- 3170 W Central Ave
Toledo, OH 43606 - Phone
- (567) 316-7253
- NPI assigned
- Nov 30, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 061414 | GA | Primary |
| Psychiatry Physician | 2084P0800X | ME97311 | FL | |
| Psychiatry Physician | 2084P0800X | 35085386 | OH |
Addresses
Primary practice location
3170 W Central Ave
Toledo, OH 43606
Mailing address
1 Elizabeth PL
Dayton, OH 45417-3445
Phone (567) 316-7253
Other practice location 1
930S Detroit Ave
Toledo, OH 43614-2701
Phone (419) 381-1881 ext. 4804
Other practice location 2
1 Elizabeth Pl
Dayton, OH 45417-3445
Phone (567) 316-7253
Other practice location 3
115 W McMicken Ave # Voa
Cincinnati, OH 45202-4915
Phone (567) 316-7253
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2545008 | Medicaid | OH | |
| P01053073 | Other | FL | MEDICARE RAILROAD PROVIDER NUMBER |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 061414 | GA | MD | Psychiatry Physician |
| 35085386 | OH | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCR Health, Inc. | Past | Accepting new patients | |
| Harbor | Psychiatry | Past | Accepting new patients |
| Ship Port Psych Services LLC | Past | Accepting new patients | |
| Behavioral Health Services of South Georgia | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Toledo, OH
- NPI 1366526782
Psychiatry
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Valdosta, GA
- NPI 1801932371
-
- Federally Qualified Health Center (FQHC)
- Parrish, FL
- NPI 1255376000
-
- Health Psychologist
- New Port Richey, FL
- NPI 1669798278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570060800000",
"number": "1669540597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ELIZABETH PL",
"city": "DAYTON",
"state": "OH",
"postal_code": "454173445",
"telephone_number": "567-316-7253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3170 W CENTRAL AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "43606",
"telephone_number": "567-316-7253"
}
],
"practiceLocations": [
{
"address_1": "930S DETROIT AVE",
"address_purpose": "LOCATION",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436142701",
"country_code": "US",
"telephone_number": "419-381-1881 x4804",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Elizabeth Pl",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454173445",
"country_code": "US",
"telephone_number": "567-316-7253",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "115 W McMicken Ave # Voa",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452024915",
"country_code": "US",
"telephone_number": "567-316-7253",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CUDDEBACK",
"first_name": "BARBARA",
"middle_name": "SHAW",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2019-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "061414",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME97311",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "35085386",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2545008",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD PROVIDER NUMBER",
"identifier": "P01053073",
"state": "FL"
}
],
"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 Oct 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.