Active NPI
Harold G. Kelso, PH.D.
- Psychologist
- Cincinnati, OH
National Provider Identifier
1619903374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3910
- Practice address
- 222 Piedmont Ave
Suite 3400
Cincinnati, OH 45219-4231 - Phone
- (513) 475-7718
- Fax
- (513) 475-7711
- NPI assigned
- Jun 24, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3910 | OH | Primary |
Addresses
Primary practice location
222 Piedmont Ave
Suite 3400
Cincinnati, OH 45219-4231
Mailing address
260 Stetson Street
ML 0530 Suite 5200
Cincinnati, OH 45267-0530
Phone (513) 558-2919
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000012171 | Other | ANTHEM | |
| 89540157 | Medicaid | KY | |
| 0168107 | Medicaid | OH | |
| 200510310 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Rehabilitation, Inc. | Past | Accepting new patients | |
| University of Cincinnati Medical Center | Past | Accepting new patients |
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.
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- Rehabilitation Hospital
- Cincinnati, OH
- NPI 1164833604
-
- Physical Medicine & Rehabilitation Physician
- Cincinnati, OH
- NPI 1235197302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210204800000",
"number": "1619903374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 STETSON STREET",
"address_2": "ML 0530 SUITE 5200",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452670530",
"telephone_number": "513-558-2919",
"fax_number": "513-558-4458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 PIEDMONT AVE",
"address_2": "SUITE 3400",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452194231",
"telephone_number": "513-475-7718",
"fax_number": "513-475-7711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELSO",
"first_name": "HAROLD",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-24",
"last_updated": "2008-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "3910",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000012171",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89540157",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0168107",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200510310",
"state": "IN"
}
],
"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 May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.