Individual provider Active NPI

Mohammed Mahboob Ahmed, MD

  • Psychiatry Physician
  • Warren, OH
National Provider Identifier
1679676274
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35083747 Issued in OH
Practice address
1350 E Market St
Warren, OH 44483-6608
Phone
(330) 841-9942
Fax
(330) 841-9386
NPI assigned
Sep 7, 2006
Last updated
Dec 5, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35083747 OH Primary

Addresses

Primary practice location

1350 E Market St
Warren, OH 44483-6608

Mailing address

1350 E Market St
Warren, OH 44483-6608
Phone (330) 841-9942

Other identifiers 1

IdentifierTypeStateIssuer
2655283MedicaidOH

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040820000205 OH Practitioner - Psychiatry 1052385655 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CNP Operating Co LLCGroup PAC ID 8325263734, 63 clinicians

Practice addresses (Care Compare)

1223 Market Ave N
Canton, OH 44714-2603
Phone (234) 999-4900

1756 Sagamore Rd
Northfield, OH 44067-1086
Phone (330) 833-3135

4199 Millpond Dr
Highland Hills, OH 44122-5731
Phone (216) 304-3287

8055 Addison Rd
Masury, OH 44438-1204
Phone (330) 448-2547

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35083747OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Ohio Office of Budget and Management State Accounting Current Accepting new patients
State of Ohio Office of Budget and Management State Accounting CurrentSince Apr 1, 2011 Accepting new patients
Highland Springs Physician Group, LLC Psychiatry CurrentSince May 1, 2025 Accepting new patients
Laurelwood Associates Inc CurrentSince May 10, 2020 Accepting new patients
North Coast Professional Company, LLC CurrentSince Dec 12, 2018 Accepting new patients
Sun Behavioral Columbus, LLC CurrentSince May 7, 2023 Accepting new patients
Highland Springs Physician Group, LLC Psychiatry CurrentSince May 1, 2025 Accepting new patients
State of Ohio Office of Budget and Management State Accounting CurrentSince Apr 1, 2011 Accepting new patients
Dublin Springs Physician Group, LLC Psychiatry CurrentSince Mar 3, 2021 Accepting new patients
North Coast Professional Company, LLC CurrentSince Dec 12, 2018 Accepting new patients
N Market Behavioral Hospital LLC Past Accepting new patients
Dublin Springs, LLC Past Accepting new patients
Dublin Springs, LLC Past Accepting new patients
State of Ohio Office of Budget and MGMT, State Accounting Past Accepting new patients
Beckett Springs, LLC Past Accepting new patients
Highland Springs, LLC Past Accepting new patients
Renaissance Counseling Service Inc. Psychiatry PastSince Jan 1, 2023 Accepting new patients
Portage Path Behavioral Health Past Accepting new patients

Locations

2085 Citygate Dr
Columbus, OH 43219
Phone (614) 300-9100

30 E Broad St
Fl 11
Columbus, OH 43215
Phone (614) 466-9930

900 E Dublin Granville Rd
Columbus, OH 43229
Phone (614) 706-2786

7625 Hospital Dr
Dublin, OH 43016
Phone (614) 414-2277

4199 Millpond Dr
Highland Hills, OH 44122
Phone (216) 206-8853

4325 Green Rd
#3
Highland Hills, OH 44128
Phone (330) 467-7131

3000 Erie St S
Massillon, OH 44646
Phone (330) 833-3135

1756 Sagamore Rd
Northfield, OH 44067
Phone (330) 467-7131

292 Benedict Ave
Norwalk, OH 44857
Phone (419) 663-3737

1111 Hayes Ave
Sandusky, OH 44870
Phone (419) 557-7455

1925 Hayes Ave
Sandusky, OH 44870
Phone (419) 557-5177

703 Tyler St
Ste 352
Sandusky, OH 44870
Phone (419) 557-6785

34125 Solon Rd
Solon, OH 44139
Phone (412) 588-3546

35900 Euclid Ave
Willoughby, OH 44094
Phone (440) 953-3000

1344 5th Ave
Youngstown, OH 44504
Phone (330) 467-7131

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1679676274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836608",
            "telephone_number": "330-841-9942",
            "fax_number": "330-841-9386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836608",
            "telephone_number": "330-841-9942",
            "fax_number": "330-841-9386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "MOHAMMED",
        "middle_name": "MAHBOOB",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35083747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2655283",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.