Provider Demographics
NPI:1053438291
Name:KAYS, TODD M (PHD)
Entity type:Individual
Prefix:
First Name:TODD
Middle Name:M
Last Name:KAYS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94 N HIGH ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-1169
Mailing Address - Country:US
Mailing Address - Phone:614-874-0178
Mailing Address - Fax:614-874-0179
Practice Address - Street 1:94 N HIGH ST
Practice Address - Street 2:SUITE 200
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-1169
Practice Address - Country:US
Practice Address - Phone:614-874-0178
Practice Address - Fax:614-874-0179
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist