Individual provider Active NPI

Scott A Bresler, PHD

  • Clinical Psychologist
  • Cincinnati, OH
National Provider Identifier
1043367451
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6151 Issued in OH
Practice address
2123 Auburn Ave Ste 428
Cincinnati, OH 45219-2906
Phone
(513) 585-0635
Fax
(513) 585-0775
NPI assigned
Jan 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychologist 103TF0200X 6151 OH
Clinical Psychologist 103TC0700X 6151 OH Primary

Addresses

Primary practice location

2123 Auburn Ave Ste 428
Cincinnati, OH 45219-2906

Mailing address

2123 Auburn Ave Ste 428
Cincinnati, OH 45219-2906
Phone (513) 585-0635

Other practice location 1

234 Goodman St
Cincinnati, OH 45219-2364
Phone (513) 584-1000

Other identifiers 1

IdentifierTypeStateIssuer
2723655MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060125000427 OH Practitioner - Clinical Psychologist 7315961646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neuropsych Center of Greater Cincinnati LLCGroup PAC ID 2567754815, 17 clinicians

Practice addresses (Care Compare)

4015 Executive Park Dr
Suite 320
Cincinnati, OH 45241-4015
Phone (513) 563-0488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6151OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Neuropsych Center of Greater Cincinnati LLC CurrentSince Dec 8, 2024 Accepting new patients
Neuropsych Center of Greater Cincinnati LLC Clinical CurrentSince May 1, 2024 Accepting new patients
University Psychiatric Associates, LLC Past Accepting new patients
Neuropsych Center of Greater Cincinnati Clinical Past Accepting new patients
Psychiatric Professional Services Past Accepting new patients

Locations

4015 Executive Park Dr
Ste 250
Cincinnati, OH 45241
Phone (513) 563-0488

431 Ohio Pike
Ste 103
Cincinnati, OH 45255
Phone (513) 563-0488

4015 Executive Park Dr
Ste 320
Cincinnati, OH 45241
Phone (513) 563-0488

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1043367451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 AUBURN AVE STE 428",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192906",
            "telephone_number": "513-585-0635",
            "fax_number": "513-585-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 AUBURN AVE STE 428",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192906",
            "telephone_number": "513-585-0635",
            "fax_number": "513-585-0775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "234 Goodman St",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452192364",
            "country_code": "US",
            "telephone_number": "513-584-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRESLER",
        "first_name": "SCOTT",
        "middle_name": "A",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "OH",
            "license": "6151",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "6151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2723655",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.