Mercy Professional Services

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

4022 Issued in OH

Legal business name

MERCY PROFESSIONAL SERVICES

Practice address

2330 Victory Pkwy
Suite 500
Cincinnati, OH 45206-2839

Phone

(513) 221-2330

Fax

(513) 221-8954

NPI assigned

Dec 10, 2007

Organization subpart

No

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

Authorized official

Name

Mr. John W Burroughs III

Title

Administrator

Phone

(513) 221-2330

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fran A Repka Doing business as

Locations

Practitioners 3

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

• Kathleen S Ferguson, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Cincinnati, OH
  • NPI 1679575104
  NPD (past)
• Frances A Repka, ED.D.

  • Counseling Psychologist
  • Cincinnati, OH
  • NPI 1619969268
  NPD (past)
• Lief Aaron Noll, PH.D.

  • Psychologist
  • Fort Leavenworth, KS
  • NPI 1598767261
  NPD (past)

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254873600000",
    "number": "1093998338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 VICTORY PKWY",
            "address_2": "SUITE 500",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452062839",
            "telephone_number": "513-221-2330",
            "fax_number": "513-221-8954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 VICTORY PKWY",
            "address_2": "SUITE 500",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452062839",
            "telephone_number": "513-221-2330",
            "fax_number": "513-221-8954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY PROFESSIONAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2009-10-07",
        "status": "A",
        "authorized_official_last_name": "BURROUGHS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "513-221-2330",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "OH",
            "license": "4022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2923411",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fran A Repka",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mercy Health Physicians Cincinnati, LLC
• Mercy Hospital Fairfield
• Mercy Hospital Western Hills
• Mercy Kenwood Ambulatory Surgery Center LLC
• Mercy Neighborhood Ministries, Inc.
• Elizabeth Meredith
• William Brooks Meredith, PHARMD
• Marion Merenivitch
• Stephanie Lynne Merhar, M.D.
• Merit Dental of Ohio - Nouneh, Inc

• Counseling Psychologist in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Counseling Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; 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.