MEDICARE: PSYCHIATRIC SERVICES OF TOLEDO, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1215435367
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PSYCHIATRIC SERVICES OF TOLEDO, INC

Provider Business Mailing Address
First Line	:	2060 WHITEHALL RD
Second Line	:
City	:	OTTAWA HILLS
State	:	OH
Zip	:	43606-2567
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2060 WHITEHALL RD
Second Line	:
City	:	OTTAWA HILLS
State	:	OH
Zip	:	43606-2567
Country	:	US
Telephone Number	:	419-787-6691
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ALAMDAR KAZMI
Credential	:	MD
Telephone Number	:	419-290-4482

Provider Enumeration Date	:	01/23/2018
Last Update Date	:	08/06/2024

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