Organization Active NPI

Greater Cincinnati Behavioral Neuroscience Center LLC

  • Neurology Physician
  • Cincinnati, OH
National Provider Identifier
1013150960
Registry record updated Nov 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
GREATER CINCINNATI BEHAVIORAL NEUROSCIENCE CENTER LLC
Practice address
5240 E Galbraith Road
Cincinnati, OH 45236-2877
Phone
(513) 745-5000
Fax
(513) 791-7800
NPI assigned
Apr 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Renu Kotwal, MD
Title
Physician
Phone
(513) 745-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

5240 E Galbraith Road
Cincinnati, OH 45236-2877

Mailing address

5240 E Galbraith Rd
Cincinnati, OH 45236-2877
Phone (513) 745-5000

National Provider Directory

National Provider Directory

Locations

5240 E Galbraith Rd
Cincinnati, OH 45236
Phone (513) 442-0027

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353024000000",
    "number": "1013150960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5240 E GALBRAITH RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362877",
            "telephone_number": "513-745-5000",
            "fax_number": "513-791-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5240 E GALBRAITH ROAD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362877",
            "telephone_number": "513-745-5000",
            "fax_number": "513-791-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER CINCINNATI BEHAVIORAL NEUROSCIENCE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-08",
        "last_updated": "2012-11-16",
        "status": "A",
        "authorized_official_last_name": "KOTWAL",
        "authorized_official_first_name": "RENU",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "513-745-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "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 Nov 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.