Organization Active NPI

Pain Solutions Network

  • Clinical Neuropsychologist
  • Springdale, OH
National Provider Identifier
1154469971
Registry record updated Jan 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
3319 Issued in OH
Legal business name
PAIN SOLUTIONS NETWORK
Practice address
1327 E Kemper Rd Ste 3100B
Springdale, OH 45246-3945
Phone
(513) 671-7246
Fax
(513) 671-4786
NPI assigned
Feb 2, 2007
Last updated
Jan 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2020

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

Authorized official

Name
Dr. Merritt S. OleskiNPI 1548315625
Title
Director
Phone
(513) 671-7246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X 3319 OH Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT4825 OH

Addresses

Primary practice location

1327 E Kemper Rd Ste 3100B
Springdale, OH 45246-3945

Mailing address

416 Altaview CT
Cincinnati, OH 45231-2701
Phone (513) 671-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051122000506 OH Part B Supplier - Clinic/Group Practice 6901825785 Practice locations: Cincinnati, OH

National Provider Directory

National Provider Directory

Locations

11590 Century Blvd
Ste 112
Springdale, OH 45246
Phone (513) 671-7246

1325 E Kemper Rd
Ste 100
Springdale, OH 45246
Phone (513) 454-2277

155 Tri County Pkwy
Ste 260
Springdale, OH 45246
Phone (246) 671-7246

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577923200000",
    "number": "1154469971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 ALTAVIEW CT",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452312701",
            "telephone_number": "513-671-7246",
            "fax_number": "513-671-4786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 E KEMPER RD STE 3100B",
            "city": "SPRINGDALE",
            "state": "OH",
            "postal_code": "452463945",
            "telephone_number": "513-671-7246",
            "fax_number": "513-671-4786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN SOLUTIONS NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A",
        "authorized_official_last_name": "OLESKI",
        "authorized_official_first_name": "MERRITT",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "513-671-7246",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "OH",
            "license": "3319",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT4825",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.