Organization Active NPI

Marguerite M Blythe

  • Geriatric Psychiatry Physician
  • Cincinnati, OH
National Provider Identifier
1356329478
Registry record updated May 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
35052570 Issued in OH
Legal business name
MARGUERITE M BLYTHE
Doing business as
Practical Psychiatry
Practice address
4903 Vine St
Cincinnati, OH 45217-1252
Phone
(513) 421-2900
Fax
(513) 345-3045
NPI assigned
Jan 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2011

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

Authorized official

Name
Marguerite Maryanna Blythe, MD
Title
MD Owner
Phone
(513) 421-2900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0805X 35052570 OH Primary

Addresses

Primary practice location

4903 Vine St
Cincinnati, OH 45217-1252

Mailing address

4903 Vine St
Cincinnati, OH 45217-1252
Phone (513) 421-2900

Other identifiers 1

IdentifierTypeStateIssuer
0671161MedicaidOH

Other names 1

  • Practical Psychiatry Doing business as

National Provider Directory

National Provider Directory

Locations

3904 N Bend Rd
Cincinnati, OH 45211
Phone (513) 481-2201

4903 Vine St
Saint Bernard, OH 45217
Phone (513) 242-7747

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304467200000",
    "number": "1356329478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4903 VINE ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452171252",
            "telephone_number": "513-421-2900",
            "fax_number": "513-345-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4903 VINE ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452171252",
            "telephone_number": "513-421-2900",
            "fax_number": "513-345-3045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARGUERITE M BLYTHE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-09",
        "last_updated": "2011-05-04",
        "status": "A",
        "authorized_official_last_name": "BLYTHE",
        "authorized_official_first_name": "MARGUERITE",
        "authorized_official_middle_name": "MARYANNA",
        "authorized_official_title_or_position": "MD OWNER",
        "authorized_official_telephone_number": "513-421-2900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "OH",
            "license": "35052570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0671161",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Practical Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 4, 2011; 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.