KETTLIE JOSEPH DANIELS, MD, INC. (NPI# 1144539412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144539412 |
| Entity Type | Organization |
| Organization Name | KETTLIE JOSEPH DANIELS, MD, INC. |
| Practice Address |
980 S Byrne Rd Toledo OH 43609-1010 |
| Practice Telephone | 4198420140 |
| Practice Fax Number | 4198420142 |
| Mailing Telephone | 4198420140 |
| Mailing Fax Number | 4198420142 |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2010-10-04 |
| Authorized Official Name | DR. KETTLIE JOSEPH DANIELS (PRESIDENT) |
| Authorized Official Telephone | 4198420140 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
35057621 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
980 S BYRNE RD |
| City | TOLEDO |
| State | OH |
| Zip Code | 43609-1010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982186334 | Ciara Palmer | Licensed Practical Nurse | 2208 Dana St., Toledo, OH 43609 | 2018-09-02 |
| 1750738373 | Andreas Wilson | Contractor | 3416 Gibraltar Heights, Toledo, OH 43609 | 2016-05-24 |
| 1154780401 | Angel Rhunell Sawyer | Home Health Aide | 3459 Gibralter Heights Dr, Apt 05, Toledo, OH 43609 | 2016-02-15 |
| 1881059111 | Tatia Marie Brooks | Home Health Aide | 325 1/2 Mayberry, Toledo, OH 43609 | 2015-12-31 |
| 1023426129 | Verna Sharon Willis | Home Health Aide | 915 Wright, Toledo, OH 43609 | 2014-08-01 |
| 1548514557 | Ieshea Sealey | Home Health Aide | 456 Shasta Dr, Toledo, OH 43609 | 2012-10-30 |
| 1316104706 | Neighborhood Health Association | Clinic/Center | 732 Southside Community Health Center, Toledo, OH 43609 | 2008-05-22 |
| 1376700211 | Neighborhood Health Association | Clinic/Center | 1 Aurora Gonzalez Drive, Toledo, OH 43609 | 2008-05-19 |
| 1790775054 | Kettlie Joseph Daniels | Specialist | 980 South Byrne Road, Toledo, OH 43609 | 2005-10-26 |
| 1780922922 | Brian K Bugbee | Massage Therapist | 743 S Byrne Rd, Toledo, OH 43609-1005 | 2013-01-23 |
| Find all providers in zip 43609 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164081063 | Reynolds Behavioral Health LLC | Psychiatry & Neurology | 1649 N Reynolds Rd, Toledo, OH 43615-3625 | 2019-06-13 |
| 1215435367 | Psychiatric Services of Toledo, Inc | Psychiatry & Neurology | 2204 N Reynolds Rd, Toledo, OH 43615-2814 | 2018-01-23 |
| 1801280334 | Habeeb Arar Md LLC | Psychiatry & Neurology | 7110 W Central Ave, Suite C, Toledo, OH 43617-3115 | 2015-03-23 |
| 1861759482 | Jason Yebin Cho | Psychiatry & Neurology | 4861 Eastwick Dr, Toledo, OH 43614-1814 | 2012-04-19 |
| 1881857043 | Habeeb Arar | Psychiatry & Neurology | 4895 Monroe St Ste 200, Toledo, OH 43623-4349 | 2008-07-08 |
| 1275793994 | Sands Healthcare Inc | Psychiatry & Neurology | 3131 Executive Pkwy # 106, Toledo, OH 43606-1367 | 2008-06-16 |
| 1346393360 | Duane A Rodriguez-winter | Psychiatry & Neurology | 1125 Morack Dr, Toledo, OH 43615-4165 | 2007-01-21 |
| 1942383450 | Olatunde Ore Fatinikun | Psychiatry & Neurology | 2770 Centennial Rd, Toledo, OH 43617-1829 | 2006-10-21 |
| 1780793661 | Panagiotis Theodore Doukides | Psychiatry & Neurology | 4027 N Holland Sylvania Rd, Toledo, OH 43623-2592 | 2006-08-30 |
| 1831129287 | Tim Robert Valko | Psychiatry & Neurology | 3130 Executive Parkway 8th Fl, Toledo, OH 43606-1309 | 2006-07-03 |
| 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.