NPIMap

Organization Active NPI

Central Behavioral Healthcare Inc

  • Clinical Psychologist
  • Toledo, OH
National Provider Identifier
1902829880
Registry record updated Feb 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
CENTRAL BEHAVIORAL HEALTHCARE INC
Practice address
5965 Renaissance PL
Suite 1
Toledo, OH 43623-4709
Phone
(419) 882-5678
NPI assigned
Jul 25, 2006
Last updated
Feb 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2012

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

Authorized official

Name
Dr. Dennis W Kogut, PHDNPI 1326033663
Title
President
Phone
(419) 882-5678

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X Primary

Addresses

Primary practice location

5965 Renaissance PL
Suite 1
Toledo, OH 43623-4709

Mailing address

5965 Renaissance PL
Suite 1
Toledo, OH 43623-4709
Phone (419) 882-5678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040927000632 OH Part B Supplier - Clinic/Group Practice 9931178092 Receives reassigned benefits from 8 practitioners
Practice locations: Toledo, OH

National Provider Directory

National Provider Directory

Locations

5965 Renaissance Pl
Ste 1
Toledo, OH 43623
Phone (419) 882-5678

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330387200000",
    "number": "1902829880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5965 RENAISSANCE PL",
            "address_2": "SUITE 1",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234709",
            "telephone_number": "419-882-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5965 RENAISSANCE PL",
            "address_2": "SUITE 1",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234709",
            "telephone_number": "419-882-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL BEHAVIORAL HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2012-02-28",
        "status": "A",
        "authorized_official_last_name": "KOGUT",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-882-5678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Feb 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.