Active NPI
Andrew Jay Michaelis
- Psychiatry Physician
- Toledo, OH
National Provider Identifier
1972186369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 35.156086
- Practice address
- 3000 Arlington Ave
Toledo, OH 43614-2598 - Phone
- (419) 383-5686
- NPI assigned
- May 3, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 35.156086 | OH | Primary |
Addresses
Primary practice location
3000 Arlington Ave
Toledo, OH 43614-2598
Mailing address
3000 Arlington Ave
Toledo, OH 43614-2598
Phone (419) 383-5686
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: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230710001407 | OH | Order and Referring Only - Psychiatry | 0648639658 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunforest Behavioral Health Services LLC | Psychiatry | Current | Accepting new patients |
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.
-
- Psychiatry Physician
- Toledo, OH
- NPI 1700617198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782086400000",
"number": "1972186369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 ARLINGTON AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436142598",
"telephone_number": "419-383-5686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 ARLINGTON AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436142598",
"telephone_number": "419-383-5686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHAELIS",
"first_name": "ANDREW",
"middle_name": "JAY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-03",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "35.156086",
"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 Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.