Active NPI
Gerald B Powell, PH.D
- Psychologist
- Cincinnati, OH
National Provider Identifier
1003080359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3017
- Practice address
- 1118 Ryalnd Ave
Cincinnati, OH 45237-5126 - Phone
- (513) 242-3894
- Fax
- (440) 243-6530
- NPI assigned
- Apr 17, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3017 | OH | Primary |
Addresses
Primary practice location
1118 Ryalnd Ave
Cincinnati, OH 45237-5126
Mailing address
1118 Ryalnd Ave
Cincinnati, OH 45237-5126
Phone (513) 242-3894
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3017 | OH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Universal Medical Administration | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208390400000",
"number": "1003080359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1118 RYALND AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452375126",
"telephone_number": "513-242-3894",
"fax_number": "440-243-6530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1118 RYALND AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452375126",
"telephone_number": "513-242-3894",
"fax_number": "440-243-6530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "GERALD",
"middle_name": "B",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-17",
"last_updated": "2008-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "3017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.