Individual provider Active NPI

Jason Drummond, PH.D.

  • Clinical Psychologist
  • Toledo, OH
National Provider Identifier
1922312107
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7477 Issued in OH
Practice address
424 W Woodruff Ave
Toledo, OH 43604-5027
Phone
(419) 841-7701
NPI assigned
Jul 30, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 7477 OH Primary

Addresses

Primary practice location

424 W Woodruff Ave
Toledo, OH 43604-5027

Mailing address

424 W Woodruff Ave
Toledo, OH 43604-5027
Phone (419) 841-7701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180625001395 OH Practitioner - Clinical Psychologist 5496000952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Anxiety Treatment Center of Greater Toledo LLCGroup PAC ID 6507198199, 7 clinicians

Practice addresses (Care Compare)

1070 Commerce Dr
Suite 301
Perrysburg, OH 43551-5236
Phone (419) 265-8206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
7477OHMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Anxiety Treatment Center of Greater Toledo LLC Clinical CurrentSince Aug 1, 2023 Accepting new patients

Locations

1070 Commerce Dr
Ste 301
Perrysburg, OH 43551
Phone (419) 265-8206

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484784000000",
    "number": "1922312107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 W WOODRUFF AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436045027",
            "telephone_number": "419-841-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 W WOODRUFF AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436045027",
            "telephone_number": "419-841-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUMMOND",
        "first_name": "JASON",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-30",
        "last_updated": "2017-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "7477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.