Family Success Consortium Inc

Primary specialty

PsychologistTaxonomy code 103T00000X

License

4512 Issued in OH

Legal business name

FAMILY SUCCESS CONSORTIUM INC

Practice address

11497 Springfield Pike
Cincinnati, OH 45246-3551

Phone

(513) 772-9300

Fax

(513) 772-9302

NPI assigned

Aug 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark Kendal Evans, PSY.D.NPI 1437373487

Title

Psychologist/President

Phone

(513) 772-9300

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Family Success Consortium Inc

  • Psychologist
  • Cincinnati, OH
  • NPI 1942520648

  O20120409000473

  Same enrollment

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Kendal Evans, PSY.D.

  • Clinical Psychologist
  • Cincinnati, OH
  • NPI 1437373487
  NPD Authorized official
• Margaret Josephson Rinck, ED.D.

  • Clinical Psychologist
  • Cincinnati, OH
  • NPI 1659595262
  NPD
• William Lee Cahalan, PH.D.

  • Clinical Psychologist
  • Cincinnati, OH
  • NPI 1790901262
  NPD (past)
• James D Kelly, PH.D

  • Clinical Psychologist
  • Cincinnati, OH
  • NPI 1598867665
  NPD (past)
• Meera Murthi, DR, PH.D., PSYCHOLOG

  • Psychologist
  • Cincinnati, OH
  • NPI 1912250689
  NPD (past)
• John Martin Tidd, PSY.D.

  • Clinical Psychologist
  • Cincinnati, OH
  • NPI 1780808741
  NPD (past)
• Angela Lynn Vredeveld, PSYD

  • Clinical Psychologist
  • Cincinnati, OH
  • NPI 1386960391
  NPD (past)
• Kristen Lee Godenick, PH.D.

  • Psychologist
  • Lawrenceburg, IN
  • NPI 1679848063
  NPD (past)
• Lief Aaron Noll, PH.D.

  • Psychologist
  • Fort Leavenworth, KS
  • NPI 1598767261
  NPD (past)

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1275724916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11497 SPRINGFIELD PIKE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452463551",
            "telephone_number": "513-772-9300",
            "fax_number": "513-772-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11497 SPRINGFIELD PIKE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452463551",
            "telephone_number": "513-772-9300",
            "fax_number": "513-772-9302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SUCCESS CONSORTIUM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "KENDAL",
        "authorized_official_title_or_position": "PSYCHOLOGIST/PRESIDENT",
        "authorized_official_telephone_number": "513-772-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "OH",
            "license": "4512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0903848",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Service of Cincinnati
• Family Service of the Cincinnati Area
• Family Solutions
• Family Solutions of Ohio Inc
• Family Solutions of Ohio Inc
• Family Success Consortium Inc
• Family Therapy Center
• Family Therapy Center
• Family Therapy Center Inc
• Family Touch Home Healthcare

• Psychologist in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; 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.