Individual provider Active NPI

Anne Alyse Brassell, PSYD

  • Psychologist
  • Cincinnati, OH
National Provider Identifier
1174052427
Registry record updated Jan 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
P.07844 Issued in OH
Practice address
11550 Winton Rd
Cincinnati, OH 45240-2355
Phone
(513) 924-8200
Fax
(513) 924-8201
NPI assigned
Jun 9, 2017
Last updated
Jan 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X P.07844 OH Primary

Addresses

Primary practice location

11550 Winton Rd
Cincinnati, OH 45240-2355

Mailing address

11550 Winton Rd
Cincinnati, OH 45240-2355
Phone (513) 924-8200

Other names 1

  • Anne Alyse Bush Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190225001254 OH Practitioner - Clinical Psychologist 9830438555 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P.07844OHMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Thrive Psychotherapy Center Current Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients

Locations

11550 Winton Rd
Cincinnati, OH 45240
Phone (513) 924-8200

201 Old Bank Rd
Ste 103
Milford, OH 45150
Phone (513) 248-0100

Interoperability endpoints

  • Direct secure messaging: abrassell495860@direct.bsmhealth.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1174052427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11550 WINTON RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452402355",
            "telephone_number": "513-924-8200",
            "fax_number": "513-924-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11550 WINTON RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452402355",
            "telephone_number": "513-924-8200",
            "fax_number": "513-924-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASSELL",
        "first_name": "ANNE",
        "middle_name": "ALYSE",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-09",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "P.07844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "BUSH",
            "middle_name": "ALYSE",
            "credential": "B.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.