DWIGHT DAVID TOLLIVER
NPI 1609909753
Psychologist in Columbus, OH

Active since March 14, 2007PECOS EnrolledAccepts Medicare Assignment
620 E BROAD ST STE 301, COLUMBUS, OH 43215(614) 914-6690(614) 745-3344 Get Directions Write a Review

NPPES record last updated: January 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dwight David Tolliver NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DWIGHT DAVID TOLLIVER (NPI 1609909753) is an individual psychologist in Columbus, Ohio, licensed in Ohio (6578) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2008).

NPPES Registry Identity

NPI1609909753
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDWIGHT DAVID TOLLIVER
Location Address620 E BROAD ST STE 301Columbus, OH 43215-4037
Mailing Address620 E Broad St Ste 301Columbus, OH 43215-4037 · (614) 914-6690 · Fax (147) 453-3446
Fax(614) 745-3344
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2008
Enumeration DateMarch 14, 2007
Last NPPES UpdateJanuary 4, 2022
NPPES CertifiedJanuary 4, 2022
NPI 1609909753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in OH · 6578
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License 6578 (OH)
620 E BROAD ST STE 301, Columbus, OH 43215

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dwight David Tolliver is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678769890
PECOS Enrollment IDI20101130000189
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
620 E BROAD ST STE 301
COLUMBUS, OH 43215
Psychologist
620 E BROAD ST STE 301
COLUMBUS, OH 43215
Psychologist (Counseling)
620 E BROAD ST STE 301
COLUMBUS, OH 43215
Counselor (Professional)
620 E BROAD ST STE 301
COLUMBUS, OH 43215
Social Worker (Clinical)
620 E BROAD ST STE 301
COLUMBUS, OH 43215
Counselor (Professional)
620 E BROAD ST STE 301
COLUMBUS, OH 43215
Psychologist (Counseling)
620 E BROAD ST STE 301
COLUMBUS, OH 43215

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dwight Tolliver's NPI number?

The NPI number for Dwight Tolliver is 1609909753. It was assigned to this individual provider in the NPPES registry on March 14, 2007.

Where is Dwight Tolliver located?

Dwight Tolliver practices at 620 E Broad St Ste 301, Columbus, OH 43215. The listed phone number is (614) 914-6690.

What is Dwight Tolliver's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Dwight Tolliver enrolled in Medicare?

Yes. Dwight Tolliver is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Dwight Tolliver accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 6 other insurers list Dwight Tolliver as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dwight Tolliver was last updated on January 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.