BOWLING GREEN STATE UNIVERSITY NPI 1366409690

NPI Information

  • NPI: 1366409690
  • Provider Name: BOWLING GREEN STATE UNIVERSITY
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Other Name: BOWLING GREEN STATE UNIVERSITY
  • Address: PSYCHOLOGICAL SERVICES CENTER
    SUITE 300 PSYCHOLOGY DEPT. BOWLING GREEN STATE UNIV
    BOWLING GREEN, OH
    ZIP 43403
  • Phone: (419) 372-2540

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NPI Details

BOWLING GREEN STATE UNIVERSITY is a mental health (including community mental health center) clinic center in Bowling Green, OH. BOWLING GREEN STATE UNIVERSITY NPI is 1366409690. The provider is registered as an organization entity type.
The provider Other Name Is Bowling Green State University.

The provider's business location address is:

PSYCHOLOGICAL SERVICES CENTER
SUITE 300 PSYCHOLOGY DEPT. BOWLING GREEN STATE UNIV
BOWLING GREEN, OH
ZIP 43403
Phone: (419) 372-2540
Fax: (419) 372-2533

The provider's authorized official is Theresa K Kelso .
The authorized official title is Administrative Assistant and has the following contact phone number (419) 372-2540.

The enumeration date for this NPI number is 4/28/2006 and was last updated on 6/18/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10747240MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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