Pamela K. Corbin, PH.D.
Individual provider Active NPI Clinical Psychologist · Mason, OH
NPI 1336192517 · NPPES record last updated May 11, 2011
Key facts
- NPI
- 1336192517
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 5748 (OH)
- Practice address
- 8587 S Mason Montgomery Rd
Suite 9
Mason, OH 45040-9233 - Phone
- (513) 919-6722
- Fax
- (513) 282-0876
- NPI assigned
- May 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8587 S Mason Montgomery Rd
Suite 9
Mason, OH 45040-9250
Phone (513) 919-6722
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060918000216 | OH | Practitioner - Clinical Psychologist | 9032114418 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5748 | OH | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albert Corbin Psychological Services, LLC | Clinical | Current |
Accepting new patients |
| Northern Kentucky Mental Health Mental Retardation Regional Board | Past | Accepting new patients |
Locations
8587 S Mason Montgomery Rd
Ste 9
Mason, OH 45040
Phone (513) 549-1586
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 5748 | OH | Yes |
Addresses
Primary practice location
8587 S Mason Montgomery Rd
Suite 9
Mason, OH 45040-9233
Mailing address
8587 S Mason Montgomery Rd
Suite 9
Mason, OH 45040-9233
Phone (513) 919-6722
Other providers in Mason, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.