Real Psychological Services - Medicare Mental Health Clinic in Columbus, OH

Real Psychological Services is a medicare enrolled mental health clinic (Psychologist - Counseling) in Columbus, Ohio. The current practice location for Real Psychological Services is 630 E Broad St, Columbus, Ohio. For appointments, you can reach them via phone at (614) 618-5955. The mailing address for Real Psychological Services is 630 E Broad St, Columbus, Ohio and phone number is (614) 618-5955.

Real Psychological Services is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1972314151. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (614) 618-5955.

Contact Information

Real Psychological Services
630 E Broad St
Columbus
OH 43215-3999
(614) 618-5955
(614) 618-5956

Map and Direction


Mental Health Clinic Profile

Full NameReal Psychological Services
SpecialityPsychologist
Location630 E Broad St, Columbus, Ohio
Authorized Official Name and PositionDwight David Tolliver (EXECUTIVE DIRECTOR)
Authorized Official Contact6146185955
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Real Psychological Services
630 E Broad St
Columbus
OH 43215-3999

Ph: (614) 618-5955
Real Psychological Services
630 E Broad St
Columbus
OH 43215-3999

Ph: (614) 618-5955

NPI Details:

NPI Number1972314151
Provider Enumeration Date01/16/2025
Last Update Date08/20/2025
Certification Date08/20/2025

Medicare PECOS Information:

Medicare PECOS PAC ID2567985559
Medicare Enrollment IDO20250331002751

Medical Identifiers

Medical identifiers for Real Psychological Services such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972314151NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC1900XPsychologist - Counseling (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Real Psychological Services acts as a billing entity for following providers:
Provider NameDwight D Tolliver
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1609909753
PECOS PAC ID: 3678769890
Enrollment ID: I20101130000189

Reviews and Comments

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.