NPIMap

Organization Active NPI

Tabono Center for Wellbeing Inc

  • Clinical Psychologist
  • Cincinnati, OH
National Provider Identifier
1275080459
Registry record updated Jul 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6165 Issued in OH
Legal business name
TABONO CENTER FOR WELLBEING INC
Practice address
4217 Smith Rd
Cincinnati, OH 45212
Phone
(513) 871-7285
Fax
(513) 871-7281
NPI assigned
Sep 6, 2016
Last updated
Jul 27, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2018

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

Authorized official

Name
Dr. Nicole Leisgang, PSY.D.NPI 1043756257
Title
Director
Phone
(513) 871-7285

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
Clinical Psychologist 103TC0700X 6165 OH Primary

Addresses

Primary practice location

4217 Smith Rd
Cincinnati, OH 45212

Mailing address

4217 Smith Rd
Cincinnati, OH 45212-4107
Phone (513) 871-7285

National Provider Directory

National Provider Directory

Locations

7237 Cincinnati Dayton Rd
West Chester, OH 45069
Phone (513) 759-9090

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1473120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532649600000",
    "number": "1275080459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4217 SMITH RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452124107",
            "telephone_number": "513-871-7285",
            "fax_number": "513-871-7281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4217 SMITH RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45212",
            "telephone_number": "513-871-7285",
            "fax_number": "513-871-7281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TABONO CENTER FOR WELLBEING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-06",
        "last_updated": "2018-07-27",
        "status": "A",
        "authorized_official_last_name": "LEISGANG",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "513-871-7285",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "6165",
            "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 Jul 27, 2018; 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.