Erin Bannon, PH.D.
Individual provider Active NPI Clinical Psychologist · Toledo, OH
NPI 1700444593 · NPPES record last updated Sep 5, 2025
Key facts
- NPI
- 1700444593
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- P.07961 (OH)
- Practice address
- 3150 N Republic Blvd Ste 5
Toledo, OH 43615-1514 - Phone
- (419) 905-5676
- Fax
- (419) 491-0350
- NPI assigned
- Jun 5, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3150 N Republic Blvd
Suite 5
Toledo, OH 43615-1524
Phone (313) 674-0300
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200205001025 | OH | Practitioner - Clinical Psychologist | 6709212004 |
Reassigns benefits to 1 organization Practice locations: Toledo, OH |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hancock Counseling | Current |
Accepting new patients | |
| Anxiety Treatment Center of Greater Toledo LLC | Clinical | Current |
Accepting new patients |
| Ultra-X Imaging LLC | Past |
Accepting new patients |
Locations
1070 Commerce Dr
Ste 301
Perrysburg, OH 43551
Phone (419) 265-8206
3150 N Republic Blvd
Ste 5
Toledo, OH 43615
Phone (419) 636-8400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | P.07961 | OH | Yes |
Addresses
Primary practice location
3150 N Republic Blvd Ste 5
Toledo, OH 43615-1514
Mailing address
3150 N Republic Blvd Ste 5
Toledo, OH 43615-1514
Phone (419) 905-5676
Other names
- Erin Bannon
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.