HARBOR NPI 1366526782

NPI Information

NPI: 1366526782
Provider Name: HARBOR

Former Legal Business Name: HARBOR BEHAVIORAL HEALTHCARE

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
3909 WOODLEY RD
TOLEDO, OH
ZIP 43606
Phone: (419) 725-3330
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HARBOR is a mental health (including community mental health center) clinic center in Toledo, OH. HARBOR NPI is 1366526782. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Harbor Behavioral Healthcare.

The provider's business location address is:

3909 WOODLEY RD
TOLEDO, OH
ZIP 43606-169
Phone: (419) 725-3330

The provider's authorized official is Dustin Watkins .
The authorized official title is President/ceo and has the following contact phone number (567) 343-0947.

The enumeration date for this NPI number is 10/24/2006 and was last updated on 12/6/2023.

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
1	101Y00000X	Counselor				No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)			No
3	103TC1900X	Psychologist	Counseling			No
4	101YP2500X	Counselor	Professional			No
5	103G00000X	Clinical Neuropsychologist				No
6	103TC0700X	Psychologist	Clinical			No
7	104100000X	Social Worker				No
8	1041C0700X	Social Worker	Clinical			No
9	106H00000X	Marriage & Family Therapist				No
10	207Q00000X	Family Medicine				No
11	2080P0006X	Pediatrics	Developmental - Behavioral Pediatrics			No
12	2084P0800X	Psychiatry & Neurology	Psychiatry			No
13	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry			No
14	2084P0805X	Psychiatry & Neurology	Geriatric Psychiatry			No
15	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	240	OHIO	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
1	060172	OTHER		VALUE OPTIONS
2	110754-000	OTHER		MAGELLAN
3	611706700	OTHER		DOL FECA
4	01927	OTHER		PARAMOUNT HEALTH CARE
5	2341639	MEDICAID	OHIO
6	3126	MEDICAID	OHIO

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: 4/28/2024

NPI Synchronization or Removal

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