Organization Active NPI

Farrellco, Inc.

  • Clinical Psychologist
  • Cincinnati, OH
National Provider Identifier
1104854819
Registry record updated Feb 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
FARRELLCO, INC.
Practice address
375 Glensprings Dr
Suite 300
Cincinnati, OH 45246-2316
Phone
(513) 825-6600
Fax
(513) 825-6696
NPI assigned
Jun 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2016

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

Authorized official

Name
Mrs. Debbie E Farrell
Title
Office Manager
Phone
(513) 825-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

375 Glensprings Dr
Suite 300
Cincinnati, OH 45246-2316

Mailing address

375 Glensprings Dr
Suite 300
Cincinnati, OH 45246-2316
Phone (513) 825-6600

Other identifiers 1

IdentifierTypeStateIssuer
0156085MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Farrellco Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456272000000",
    "number": "1104854819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 GLENSPRINGS DR",
            "address_2": "SUITE 300",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452462316",
            "telephone_number": "513-825-6600",
            "fax_number": "513-825-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 GLENSPRINGS DR",
            "address_2": "SUITE 300",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452462316",
            "telephone_number": "513-825-6600",
            "fax_number": "513-825-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARRELLCO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2016-02-24",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "513-825-6600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0156085",
            "state": "OH"
        }
    ],
    "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 Feb 24, 2016; 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.