NPIMap

Organization Active NPI

Ohio Community Support LLC

  • Intellectual & Developmental Disabilities Psychologist
  • Cincinnati, OH
National Provider Identifier
1255764106
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X
Legal business name
OHIO COMMUNITY SUPPORT LLC
Practice address
5658 Colerain Ave
Cincinnati, OH 45239-6746
Phone
(513) 307-7700
NPI assigned
Aug 14, 2013
Last updated
Aug 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2013

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

Authorized official

Name
Usman M MbahNPI 1487984381
Title
Ceo
Phone
(513) 307-7700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual & Developmental Disabilities Psychologist 103TM1800X NU Primary

Addresses

Primary practice location

5658 Colerain Ave
Cincinnati, OH 45239-6746

Mailing address

5658 Colerain Ave
Cincinnati, OH 45239-6746
Phone (513) 307-7700

National Provider Directory

National Provider Directory

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": "1376438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376438400000",
    "number": "1255764106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5658 COLERAIN AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452396746",
            "telephone_number": "513-307-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5658 COLERAIN AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452396746",
            "telephone_number": "513-307-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO COMMUNITY SUPPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-14",
        "last_updated": "2013-08-14",
        "status": "A",
        "authorized_official_last_name": "MBAH",
        "authorized_official_first_name": "USMAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "513-307-7700"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 14, 2013; 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.