Individual provider Active NPI

Nicole Ober Snowden, PSY.D.

  • Clinical Psychologist
  • Cincinnati, OH
National Provider Identifier
1417616699
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7282 Issued in OH
Practice address
1101 Summit Rd
Cincinnati, OH 45237-2621
Phone
(513) 948-3600
Fax
(513) 948-8631
NPI assigned
Dec 15, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 7282 OH Primary

Addresses

Primary practice location

1101 Summit Rd
Cincinnati, OH 45237-2621

Mailing address

1101 Summit Rd
Cincinnati, OH 45237-2621
Phone (513) 948-3600

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220208000679 OH Practitioner - Clinical Psychologist 4688067085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1101 Summit Rd
Cincinnati, OH 45237-2621
Phone (513) 948-3600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7282OHMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
State of Ohio Office of Budget and Management State Accounting CurrentSince Dec 15, 2021 Accepting new patients
State of Ohio Office of Budget and Management State Accounting CurrentSince Dec 15, 2021 Accepting new patients

Locations

1101 Summit Rd
Cincinnati, OH 45237
Phone (513) 948-3600

30 E Broad St
Fl 11
Columbus, OH 43215
Phone (614) 466-9930

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1639526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1417616699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 SUMMIT RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452372621",
            "telephone_number": "513-948-3600",
            "fax_number": "513-948-8631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 SUMMIT RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452372621",
            "telephone_number": "513-948-3600",
            "fax_number": "513-948-8631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOWDEN",
        "first_name": "NICOLE",
        "middle_name": "OBER",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-15",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "7282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.