Pamela K. Corbin, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5748 Issued in 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

Last updated

May 11, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Albert Corbin Psychological Services, LLC

  • Clinical Psychologist
  • Mason, OH
  • NPI 1073611166
  Medicare reassignment NPD
• Northern Kentucky Mental Health Mental Retardation Regional Board

  dba NorthKey Community Care

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Covington, KY
  • NPI 1578527610
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305072000000",
    "number": "1336192517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8587 S MASON MONTGOMERY RD",
            "address_2": "SUITE 9",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450409233",
            "telephone_number": "513-919-6722",
            "fax_number": "513-282-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8587 S MASON MONTGOMERY RD",
            "address_2": "SUITE 9",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450409233",
            "telephone_number": "513-919-6722",
            "fax_number": "513-282-0876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBIN",
        "first_name": "PAMELA",
        "middle_name": "K.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2011-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "5748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aletta Michelle Coomer, LPN
• Alyssa Cooper
• Julie Cooper, M.ED.
• Kate Cooper, RD, LD
• Victoria Cooper, BCBA
• Matthew Anthony Corcoran, D.D.S.
• Core Revive Physical Therapy and Wellness (Is the Dba, Jackie Kickish LLC)
• Melissa Ann Cornish, M.S.
• Dajouir Cornnielies
• Tiarra Coston

• Clinical Psychologist in Mason, OH
• Providers in Mason, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.