NPIMap

Organization Active NPI

Professional Psychiatric Services, LLC

  • Substance Abuse Rehabilitation Facility
  • West Chester, OH
National Provider Identifier
1295348290
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
PROFESSIONAL PSYCHIATRIC SERVICES, LLC
Practice address
9117 Cincinnati Columbus Rd
West Chester, OH 45069-3701
Phone
(513) 229-7585
Fax
(513) 229-7731
NPI assigned
Aug 28, 2020
Organization subpart
Yes
Parent organization
PROFESSIONAL PSYCHIATRIC SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Authorized official

Name
Mohamed Abdel Aziz, MDNPI 1760489421
Title
Ceo / Owner
Phone
(513) 229-7585

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

9117 Cincinnati Columbus Rd
West Chester, OH 45069-3701

Mailing address

PO Box 808
Mason, OH 45040-0808
Phone (513) 229-7585

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL help@ppsych.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Prof Psychiatric SVCS LLC2 organizations share this tax ID, including this one
Part of
Prof Psychiatric SVCS LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9117 Columbus Cincinnati Rd
West Chester, OH 45069
Phone (513) 229-7585

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598572800000",
    "number": "1295348290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 808",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450400808",
            "telephone_number": "513-229-7585",
            "fax_number": "513-229-7731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9117 CINCINNATI COLUMBUS RD",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450693701",
            "telephone_number": "513-229-7585",
            "fax_number": "513-229-7731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PSYCHIATRIC SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROFESSIONAL PSYCHIATRIC SERVICES LLC",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A",
        "authorized_official_last_name": "ABDEL AZIZ",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "CEO / OWNER",
        "authorized_official_telephone_number": "513-229-7585",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "help@ppsych.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9117 Cincinnati Columbus Rd",
            "city": "West Chester",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450693701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.