NPIMap

Organization Active NPI

George S Broderick D.O. Inc.

  • Child & Adolescent Psychiatry Physician
  • Cincinnati, OH
National Provider Identifier
1518011998
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
34007182B Issued in OH
Legal business name
GEORGE S BRODERICK D.O. INC.
Practice address
4030 Mount Carmel Tobasco Rd
Suite 314
Cincinnati, OH 45255-3400
Phone
(513) 528-9200
Fax
(513) 528-9202
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mrs. Neva L Broderick
Title
Secretary Treasurer
Phone
(513) 553-0414

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 34007182B OH
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X 34007182B OH Primary

Addresses

Primary practice location

4030 Mount Carmel Tobasco Rd
Suite 314
Cincinnati, OH 45255-3400

Mailing address

4030 Mount Carmel Tobasco Rd
Suite 314
Cincinnati, OH 45255-3400
Phone (513) 528-9200

Other names 1

  • Greater Cincinnati Psychiatric and Counseling Center Doing business as

National Provider Directory

National Provider Directory

Locations

8291 Beechmont Ave
Ste B
Cincinnati, OH 45255
Phone (513) 528-9200

4030 Mount Carmel Tobasco Rd
Ste 314
Cincinnati, OH 45255
Phone (513) 528-9200

3174 Mack Rd
Ste 3
Fairfield, OH 45014
Phone (513) 874-2000

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1518011998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 MOUNT CARMEL TOBASCO RD",
            "address_2": "SUITE 314",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452553400",
            "telephone_number": "513-528-9200",
            "fax_number": "513-528-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 MOUNT CARMEL TOBASCO RD",
            "address_2": "SUITE 314",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452553400",
            "telephone_number": "513-528-9200",
            "fax_number": "513-528-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE S BRODERICK D.O. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BRODERICK",
        "authorized_official_first_name": "NEVA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SECRETARY TREASURER",
        "authorized_official_telephone_number": "513-553-0414",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "34007182B",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OH",
            "license": "34007182B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greater Cincinnati Psychiatric and Counseling Center",
            "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 Sep 11, 2025; 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.