Individual provider Active NPI

Richard Loren, PH.D.

  • Clinical Psychologist
  • Cincinnati, OH
National Provider Identifier
1144294729
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
839 Issued in WV
Practice address
3333 Burnet Ave ML 10006
Cincinnati Children'S Hospital Medical Center
Cincinnati, OH 45229-3039
Phone
(513) 636-8515
Fax
(513) 636-0755
NPI assigned
Feb 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 839 WV Primary

Addresses

Primary practice location

3333 Burnet Ave ML 10006
Cincinnati Children'S Hospital Medical Center
Cincinnati, OH 45229-3039

Mailing address

7068 Spruce Hill Cir
West Chester, OH 45069-3638
Phone (513) 520-1761

Other identifiers 1

IdentifierTypeStateIssuer
9203064000MedicaidWV

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6258OHMDMental Health Counselor
839WVMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144294729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7068 SPRUCE HILL CIR",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450693638",
            "telephone_number": "513-520-1761",
            "fax_number": "513-636-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 BURNET AVE ML 10006",
            "address_2": "CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293039",
            "telephone_number": "513-636-8515",
            "fax_number": "513-636-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOREN",
        "first_name": "RICHARD",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WV",
            "license": "839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9203064000",
            "state": "WV"
        }
    ],
    "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 Jul 8, 2007; 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.