Individual provider Active NPI

Amber Stevens, PSYD

  • Clinical Psychologist
  • Cincinnati, OH
National Provider Identifier
1629468228
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071009033 Issued in IL
Practice address
2245 Gilbert Ave Ste 303
Cincinnati, OH 45206-3000
Phone
(513) 216-0068
Fax
(513) 216-0068
NPI assigned
Feb 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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 071009033 IL Primary

Addresses

Primary practice location

2245 Gilbert Ave Ste 303
Cincinnati, OH 45206-3000

Mailing address

2245 Gilbert Ave Ste 303
Cincinnati, OH 45206-3000
Phone (513) 519-0409

Other practice location 1

950 Lee St
Suite 202
Des Plaines, IL 60016-6532
Phone (847) 696-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 1, 2025 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1629468228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2245 GILBERT AVE STE 303",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452063000",
            "telephone_number": "513-519-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2245 GILBERT AVE STE 303",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452063000",
            "telephone_number": "513-216-0068",
            "fax_number": "513-216-0068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 Lee St",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Des Plaines",
            "state": "IL",
            "postal_code": "600166532",
            "country_code": "US",
            "telephone_number": "847-696-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "AMBER",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-03",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071009033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.