Active NPI
Kevin Corbus, PSY.D.
- Clinical Psychologist
- Cincinnati, OH
National Provider Identifier
1013381573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6433
- Practice address
- 11500 Northlake Dr
Cincinnati, OH 45249-1650 - Phone
- (513) 247-4680
- NPI assigned
- Nov 20, 2015
- Last updated
- Nov 20, 2015
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6433 | OH | Primary |
Addresses
Primary practice location
11500 Northlake Dr
Cincinnati, OH 45249-1650
Mailing address
1449 Herschel Ave
Cincinnati, OH 45208-2531
Phone (440) 796-3289
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6433 | OH | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447977600000",
"number": "1013381573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1449 HERSCHEL AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452082531",
"telephone_number": "440-796-3289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11500 NORTHLAKE DR",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452491650",
"telephone_number": "513-247-4680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORBUS",
"first_name": "KEVIN",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-11-20",
"last_updated": "2015-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "6433",
"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 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.