Active NPI
Randolph L Preshaw, PHD
- Clinical Psychologist
- Cincinnati, OH
National Provider Identifier
1154300077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3592
- Practice address
- 9403 Kenwood Rd
Ste B209
Cincinnati, OH 45242-6895 - Phone
- (513) 793-7005
- NPI assigned
- Jan 10, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 3592 | OH | Primary |
Addresses
Primary practice location
9403 Kenwood Rd
Ste B209
Cincinnati, OH 45242-6895
Mailing address
9109 Shadetree Dr
Cincinnati, OH 45242-7529
Phone (513) 891-7833
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0789222 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3592 | OH | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1154300077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9109 SHADETREE DR",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452427529",
"telephone_number": "513-891-7833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9403 KENWOOD RD",
"address_2": "STE B209",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452426895",
"telephone_number": "513-793-7005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESHAW",
"first_name": "RANDOLPH",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "3592",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0789222",
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.