Organization Active NPI

Brave Mental Health

  • Certified Registered Nurse Anesthetist
  • Toledo, OH
National Provider Identifier
1922795046
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
BRAVE MENTAL HEALTH
Practice address
3151 Chollett Dr
Toledo, OH 43606-1839
Phone
(419) 932-5318
NPI assigned
Apr 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Authorized official

Name
Tyra SmithNPI 1497164917
Title
Ceo
Phone
(419) 932-5318

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
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

3151 Chollett Dr
Toledo, OH 43606-1839

Mailing address

2052 Collingwood Blvd
Toledo, OH 43620-1650
Phone (419) 932-5318

National Provider Directory

National Provider Directory

Locations

2052 Collingwood Blvd
Toledo, OH 43620
Phone (419) 360-1592

3151 Chollett Dr
Toledo, OH 43606
Phone (419) 932-5318

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681862400000",
    "number": "1922795046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2052 COLLINGWOOD BLVD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436201650",
            "telephone_number": "419-932-5318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 CHOLLETT DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061839",
            "telephone_number": "419-932-5318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVE MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TYRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "419-932-5318"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "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 Apr 19, 2023; 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.