Unknown Individual – Psychiatry Physician, NPI 1083609549
Psychiatry Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
3355, Glendale Avenue, Heather Downs, Toledo, Lucas County, Ohio, 43614, United States
3RD FLOOR
TOLEDO, OH 436142426
Phone: (419) 383-7146
Fax: (419) 383-2050
Type: Mailing
3120, Glendale Avenue, Heather Downs, Toledo, Lucas County, Ohio, 43614, United States
TOLEDO, OH 436145811
Phone: (419) 383-5695
Fax: (419) 383-3031
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 43614)
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