BOWLING GREEN STATE UNIVERSITY (NPI# 1366409690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366409690 |
| Entity Type | Organization |
| Organization Name | BOWLING GREEN STATE UNIVERSITY |
| Other Organization Name | BOWLING GREEN STATE UNIVERSITY |
| Practice Address |
Psychological Services Center Suite 300 Psychology Dept. Bowling Green State Univ Bowling Green OH 43403 |
| Mailing Address |
Psychological Services Center Suite 300 Psychology Dept. Bowling Green State Univ Bowling Green OH 43403-0001 |
| Practice Telephone | 4193722540 |
| Practice Fax Number | 4193722533 |
| Mailing Telephone | 4193722540 |
| Mailing Fax Number | 4193722533 |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2018-06-18 |
| Authorized Official Name | THERESA K KELSO (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Telephone | 4193722540 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0747240 | 05 |
| Other Name | Type Code |
|---|---|
| Bowling Green State University | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083921787 | Bowling Green State University | Psychologist | 822 E Merry Street Bowling Green State University, 300 Psychology Building, Bowling Green, OH 43403 | 2010-09-02 |
| 1699707687 | Bowling Green State University | Family Medicine | Ridge Street, Bowling Green, OH 43403-0147 | 2006-07-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BOWLING GREEN STATE UNIVERSITY | 319 Administration Bldg, Bowling Green, OH 43403-0001 |
| Street Address |
PSYCHOLOGICAL SERVICES CENTER SUITE 300 PSYCHOLOGY DEPT. BOWLING GREEN STATE UNIV |
| City | BOWLING GREEN |
| State | OH |
| Zip Code | 43403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295913309 | Dryw O Dworsky | Psychologist | Psychological Services Center, 300 Psychology Building, Bgsu, Bowling Green, OH 43403-0232 | 2008-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811366271 | Alyssa Lassey | Specialist/Technologist | 110 Mcfall Center, Bowling Green, OH 43403 | 2015-09-16 |
| 1083921787 | Bowling Green State University | Psychologist | 822 E Merry Street Bowling Green State University, 300 Psychology Building, Bowling Green, OH 43403 | 2010-09-02 |
| 1588804033 | Arena M Mueller | Counselor | 422 Conklin Hall, Bowling Green State University, Bowling Green, OH 43403 | 2009-02-24 |
| 1366805277 | Claire C Silverman | Speech-Language Pathologist | Bgsu Speech and Hearing Clinic, 200 Health and Human Services, Bowling Green, OH 43403 | 2016-03-30 |
| 1750914990 | Joshua B. Grubbs | Psychologist | 822 E Merry Psychology Building Suite 300, Bowling Green, OH 43403-0001 | 2020-02-17 |
| 1104294164 | Ashlee Driscoll | Specialist/Technologist | Bowling Green State University, Bowling Green, OH 43403-0001 | 2015-09-08 |
| 1255771432 | Christopher August Schommer | Specialist/Technologist | 210 Eppler S, Bowling Green, OH 43403-0001 | 2013-07-02 |
| 1053523407 | Annette Lynn Davidson | Specialist/Technologist | Bgsu Stadium E, Bowling Green, OH 43403-0001 | 2007-05-05 |
| 1679796809 | Donna Rose Majewski | Pharmacist | Bgsu Pharmacy Student Health Service, Ridge St, Bowling Green, OH 43403-0001 | 2007-04-10 |
| 1023181633 | William Hayes Obrien | Psychologist | Of Psychology, Bowling Green State University, Bowling Green, OH 43403-0001 | 2006-11-15 |
| Find all providers in zip 43403 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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|---|---|---|---|---|
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| 1326578006 | Human Nature, LLC | Clinic/Center | 1960 Louisville Rd Ste A, Bowling Green, KY 42101-1254 | 2017-06-15 |
| 1669435186 | Family Service of Northwest Ohio | Clinic/Center | 1616 E Wooster St, Bowling Green, OH 43402-3478 | 2006-04-07 |
| 1831435379 | Phoenix Wellness Group, LLC | Clinic/Center | 1030 Shive Ln, Bowling Green, KY 42103-8037 | 2013-01-02 |
| 1730358482 | Behavioral Connections of Wood County Inc | Clinic/Center | 1010 N Prospect St, Bowling Green, OH 43402-1335 | 2008-02-27 |
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|---|---|---|---|---|
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| 1386243939 | Tree of Life Healthcare LLC | Clinic/Center | 3043 Kiwatha Rd, Youngstown, OH 44511-3003 | 2020-10-23 |
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| 1467066597 | Psychworks LLC | Clinic/Center | 2630 Keysport Ln, Cincinnati, OH 45231-1146 | 2020-09-05 |
| 1881208189 | Child Anxiety Center | Clinic/Center | 4555 Lake Forest Dr Ste 650, Blue Ash, OH 45242-3789 | 2020-09-03 |
| 1104439397 | Pathway To Serenity | Clinic/Center | 115 W Front St Unit 8, Perrysburg, OH 43551-1473 | 2020-08-26 |
| 1154932473 | Phoenix Counseling and Wellness, LLC | Clinic/Center | 35104 Euclid Ave Ste 306, Willoughby, OH 44094-4566 | 2020-08-11 |
| 1205446754 | Right Direction Behavioral Services | Clinic/Center | 17325 Euclid Ave Ste 2013, Cleveland, OH 44112-1250 | 2020-08-07 |
| 1003424573 | Purposed Journey Counseling LLC | Clinic/Center | 11578 Norbourne Dr, Cincinnati, OH 45240-2152 | 2020-07-21 |
| 1407474737 | Life Cycles Development Center LLC | Clinic/Center | 1507 Copley Rd, Akron, OH 44320-2501 | 2020-07-13 |
| Find all providers with the same taxonomy | ||||
| City | BOWLING GREEN |
| Zip Code | 43403 |
Please comment or provide details below to improve the information on BOWLING GREEN STATE UNIVERSITY.
| 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.