OrganizationActive
Bowling Green State University
NPI 1083921787 · Clinical Psychologist · Bowling Green, OH
Provider details
- NPI number
- 1083921787
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Theresa Kelso, Administrative Assistant(419) 372-2540
- License
- 6697 (OH)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
822 E Merry Street Bowling Green State University
300 Psychology Building
Bowling Green, OH 43403
Phone: (419) 372-2540
Fax: (419) 372-2533
Approximate (ZIP-level) locationGet directions
Mailing address
822 E Merry Street Bowling Green State University
Bowling Green, OH 43403-0232
Other names (DBA / former)
- Other name
- Psychological Services Center
- Other name
- Psychological Services Center
Registry dates
- Enumerated
- 2010-09-02
- Last updated
- 2018-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.