| Boris Krasimirov Todorov, PHD | |
|
500 Burlington Rd, Suite 240, Jackson, OH 45640-9360 | |
| (740) 286-5075 | |
| (740) 395-8411 |
| Full Name | Boris Krasimirov Todorov |
|---|---|
| Gender | Male |
| Speciality | Clinical Psychologist |
| Experience | 16 Years |
| Location | 500 Burlington Rd, Jackson, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740672963 | NPI | - | NPPES |
| 0200820 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 7256 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Behavioral Health Cooperative Llc | 1355732777 | 9 |
| Entity Name | Pcpa Legacy, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093030132 PECOS PAC ID: 7012174477 Enrollment ID: O20120214000033 |
| Entity Name | The Behavioral Health Cooperative Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497428817 PECOS PAC ID: 1355732777 Enrollment ID: O20211220000801 |
| Mailing Address | Practice Location Address |
|---|---|
| Boris Krasimirov Todorov, PHD 400 Skokie Blvd, Ste 245, Northbrook, IL 60062-7932 Ph: (847) 686-0090 | Boris Krasimirov Todorov, PHD 500 Burlington Rd, Suite 240, Jackson, OH 45640-9360 Ph: (740) 286-5075 |
Dr. J F Rupert, DSC, PHD, DD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 404 State Route 327, Jackson, OH 45640 Phone: 740-978-0676 | |
Joseph Edward Black, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 731 E Main St, Suite 13, Jackson, OH 45640 Phone: 740-286-8789 Fax: 740-286-8789 | |
Dr. John P Garske, PH D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Acy Avenue, Suite B Woodland Centers Inc, Jackson, OH 45640 Phone: 740-286-5075 Fax: 740-288-7335 | |
Leslie Risin, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 731 E Main St, Unit 13, Jackson, OH 45640 Phone: 740-286-8789 Fax: 740-286-8789 |