BREYONNA MATHIS (NPI# 1104285295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104285295 |
| Entity Type | Individual |
| Full Name | BREYONNA MATHIS |
| Practice Address |
2417 Cass Road Toledo OH 43614 |
| Mailing Address |
2021 Key St Apt L Maumee OH 43537-2521 |
| Practice Telephone | 4196718855 |
| Mailing Telephone | 4192604787 |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2016-02-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
OH3134812 | OH | Behavioral Health & Social Service Providers |
| Street Address |
2417 CASS ROAD |
| City | TOLEDO |
| State | OH |
| Zip Code | 43614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339168 | Chao Chun George Chang | Student in an Organized Health Care Education/Training Program | 3000 Arlington Ave. Mail Stop 1068, Department of Pathology, Toledo, OH 43614 | 2020-09-07 |
| 1902417926 | Heather Louise Perne | Nurse Practitioner | The University of Toledo Medical Center, 3000 Arlington Ave, Toledo, OH 43614 | 2020-08-13 |
| 1750910188 | Joseph Nabil Said Kamel | Student in an Organized Health Care Education/Training Program | 3120 Glendale Ave Ste L, Toledo, OH 43614 | 2020-04-07 |
| 1386290302 | Concertohealth of Ohio LLC | Family Medicine | 5553 Southwyck Boulevard, Suite 101, Toledo, OH 43614 | 2019-08-15 |
| 1154983120 | Yong Woo Jeon | Student in an Organized Health Care Education/Training Program | 3000 Arlington Ave, Mailstop 1132, Toledo, OH 43614 | 2019-06-30 |
| 1093372096 | Anwer Aldhaheri | Student in an Organized Health Care Education/Training Program | 3000 Arlington Ave, Ms 1095, Dowling Hall, Room 2153a, Toledo, OH 43614 | 2019-05-24 |
| 1073090205 | Syed Fahmeed Imam | Student in an Organized Health Care Education/Training Program | Ruppert Health Center, 3125 Transvers Dr, Toledo, OH 43614 | 2018-07-20 |
| 1861988875 | Sandeep Randhawa | Pediatrics | Rupert Health Centre, Utmc Campus, 3125, Transverse Drive, Toledo, OH 43614 | 2018-07-03 |
| 1861985251 | Khin Sie | Family Medicine | Rocket Pediatrics, Ruppert Health Center, 3125 Transverse Drive., Toledo, OH 43614 | 2018-06-11 |
| 1548765126 | Alex Lu | Emergency Medicine | 3000 Arlington Ave., Mailstop 1088, 2456 Dowling Hall, Toledo, OH 43614 | 2018-03-27 |
| Find all providers in zip 43614 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891219325 | Thomas Stephen Schutte I | Psychologist | 3939 Wrenwood Rd, Toledo, OH 43623-1762 | 2017-07-26 |
| 1154861821 | Cindy Baker LLC | Psychologist | 2828 Meadowwood Dr, Toledo, OH 43606-3067 | 2017-03-01 |
| 1992251136 | Emily Ellis | Psychologist | 1609 N. Summit St., Toledo, OH 43604-1806 | 2016-08-28 |
| 1497152193 | Thomas Schmitt | Psychologist | 2138 Dana St, Toledo, OH 43609-1850 | 2014-11-24 |
| 1689098360 | Venessa Moya | Psychologist | 2755 Edgebrook Dr, Toledo, OH 43613-1266 | 2014-02-14 |
| 1750705695 | Joseph Delano | Psychologist | 5050 Douglas Rd, Toledo, OH 43613-2607 | 2014-02-12 |
| 1861816977 | Heather Halasz | Psychologist | 4221 Walker Ave, Toledo, OH 43612-1855 | 2014-02-10 |
| 1336563428 | Laura Geer | Psychologist | 3535 Mcgregor Ln, Toledo, OH 43623-1814 | 2014-02-10 |
| 1316361454 | Melissa Buckland | Psychologist | 3901 Shadylawn Dr, Toledo, OH 43614-3308 | 2014-02-10 |
| 1124442454 | Amy Vollmar-gorham | Psychologist | 3281 Upton Ave, Rm 1100, Toledo, OH 43613-5109 | 2014-02-06 |
| Find all providers in TOLEDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.