Active NPI
Theodor B Rais, M.D.
- Psychiatry Physician
- Toledo, OH
National Provider Identifier
1831184720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 35.076784
- Practice address
- 3130 Glendale Ave
Kobacker Center
Toledo, OH 43614-5811 - Phone
- (419) 383-3815
- Fax
- (419) 383-3098
- NPI assigned
- Sep 16, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 278413-1205 | UT | |
| Forensic Psychiatry Physician | 2084F0202X | 35076784 | OH | |
| Psychiatry Physician | 2084P0800X | 35076784 | OH | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 35076784 | OH | |
| Psychiatry Physician | 2084P0800X | 35.076784 | OH | Primary |
| Forensic Psychiatry Physician | 2084F0202X | 35.076784 | OH |
Addresses
Primary practice location
3130 Glendale Ave
Kobacker Center
Toledo, OH 43614-5811
Mailing address
3900 Sunforest CT Ste 227
Toledo, OH 43623-4440
Phone (419) 724-6567
Other practice location 1
3556 S 5600 W
Salt Lake City, UT 84120-2815
Phone (832) 604-3771
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2144183 | Medicaid | OH |
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 |
|---|---|---|---|
| 35.076784 | OH | MD | Forensic Psychiatry Physician |
| 35076784 | OH | MD | Forensic Psychiatry Physician |
| 278413-1205 | UT | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunforest Behavioral Health Services LLC | Psychiatry | Current | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Cedar Ridge Behavioral Health Solutions | Past | Accepting new patients |
Locations
3900 Sunforest Ct
Ste 227
Toledo, OH 43623
Phone (419) 480-0700
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.
-
- Psychiatry Physician
- Toledo, OH
- NPI 1700617198
-
- Community/Behavioral Health Agency
- Cambridge, OH
- NPI 1447769666
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750032000000",
"number": "1831184720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 SUNFOREST CT STE 227",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436234440",
"telephone_number": "419-724-6567",
"fax_number": "419-241-1081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3130 GLENDALE AVE",
"address_2": "KOBACKER CENTER",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436145811",
"telephone_number": "419-383-3815",
"fax_number": "419-383-3098"
}
],
"practiceLocations": [
{
"address_1": "3556 S 5600 W",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "841202815",
"country_code": "US",
"telephone_number": "832-604-3771",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAIS",
"first_name": "THEODOR",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-16",
"last_updated": "2025-06-16",
"certification_date": "2025-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "UT",
"license": "278413-1205",
"primary": false
},
{
"code": "2084F0202X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Forensic Psychiatry",
"state": "OH",
"license": "35076784",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "35076784",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "OH",
"license": "35076784",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "35.076784",
"primary": true
},
{
"code": "2084F0202X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Forensic Psychiatry",
"state": "OH",
"license": "35.076784",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2144183",
"state": "OH"
}
],
"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 Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.