Deloise President

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

5726 Southwyck Blvd Ste 200-B
Toledo, OH 43614-1559

Phone

(419) 214-1766

Fax

(419) 214-1792

NPI assigned

Nov 10, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Sound Mind Behavioral Wellness

  • Community/Behavioral Health Agency
  • Toledo, OH
  • NPI 1043846165
  NPD
• Sound Mind Behavioral Wellness, LLC

  • Community/Behavioral Health Agency
  • Toledo, OH
  • NPI 1619581915
  NPD

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1912509415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5726 SOUTHWYCK BLVD STE 200-B",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436141559",
            "telephone_number": "419-214-1766",
            "fax_number": "419-214-1792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5726 SOUTHWYCK BLVD STE 200-B",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436141559",
            "telephone_number": "419-214-1766",
            "fax_number": "419-214-1792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESIDENT",
        "first_name": "DELOISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-10",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@soundmindbw.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5726 Southwyck Blvd Ste 200-B",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436141559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Premier Consulting Toledo LLC
• Premier Professioal Group, LLC
• Premier Support Services LLC
• Michelle D. Prephan, R.N.
• Alexandrea Presberry
• Davonna Presley
• Claudia Ann Pressley
• Keith Pressley
• Olivia Pressley
• Alicia Rymut Prestegaard, M.D.

• Community/Behavioral Health Agency in Toledo, OH
• Providers in Toledo, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.