Active NPI
Star Academy of Toledo
- School Psychologist
- Toledo, OH
National Provider Identifier
1700276748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Legal business name
- STAR ACADEMY OF TOLEDO
- Practice address
- 5025 Glendale Ave Door #3
Toledo, OH 43614 - Phone
- (419) 720-6330
- Fax
- (419) 720-7372
- NPI assigned
- Jan 29, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Julieta R Dinkins, M.ED
- Title
- Head of School
- Phone
- (419) 720-6330
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | Primary | ||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X |
Addresses
Primary practice location
5025 Glendale Ave Door #3
Toledo, OH 43614
Mailing address
5025 Glendale Ave Door #3
Toledo, OH 43614
Phone (419) 720-6330
National Provider Directory
National Provider DirectoryLocations
5025 Glendale Ave
#3
Toledo, OH 43614
Phone (419) 720-6330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1422489600000",
"number": "1700276748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5025 GLENDALE AVE DOOR #3",
"city": "TOLEDO",
"state": "OH",
"postal_code": "43614",
"telephone_number": "419-720-6330",
"fax_number": "419-720-7372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5025 GLENDALE AVE DOOR #3",
"city": "TOLEDO",
"state": "OH",
"postal_code": "43614",
"telephone_number": "419-720-6330",
"fax_number": "419-720-7372"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STAR ACADEMY OF TOLEDO",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-29",
"last_updated": "2015-01-29",
"status": "A",
"authorized_official_last_name": "DINKINS",
"authorized_official_first_name": "JULIETA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "HEAD OF SCHOOL",
"authorized_official_telephone_number": "419-720-6330",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "M.ED"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, School",
"state": null,
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
}
],
"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 Jan 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.