Active NPI
Jackson Ridge
- School Psychologist
- Cincinnati, OH
National Provider Identifier
1477465441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- LSP.03272
- Practice address
- 4350 Aicholtz Rd Ste 220
Cincinnati, OH 45245-3501 - Phone
- (513) 943-5000
- NPI assigned
- Sep 22, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | LSP.03272 | OH | Primary |
Addresses
Primary practice location
4350 Aicholtz Rd Ste 220
Cincinnati, OH 45245-3501
Mailing address
4350 Aicholtz Rd Ste 220
Cincinnati, OH 45245-3501
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790035200000",
"number": "1477465441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4350 AICHOLTZ RD STE 220",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452453501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4350 AICHOLTZ RD STE 220",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452453501",
"telephone_number": "513-943-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDGE",
"first_name": "JACKSON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-22",
"last_updated": "2026-09-22",
"certification_date": "2026-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "OH",
"license": "LSP.03272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.