Active NPI
Joseph F. Wicker, Psy.D. Clinical Psychologist, LLC.
- Clinical Psychologist
- Cincinnati, OH
National Provider Identifier
1669645503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3625
- Legal business name
- JOSEPH F. WICKER, PSY.D. CLINICAL PSYCHOLOGIST, LLC.
- Practice address
- 4030 Mount Carmel Tobasco Rd
306E
Cincinnati, OH 45255-3400 - Phone
- (513) 528-2245
- Fax
- (513) 528-2184
- NPI assigned
- Apr 11, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joseph F. Wicker, PSY.D.
- Title
- Clinical Psychologist
- Phone
- (513) 528-2245
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3625 | OH | Primary |
Addresses
Primary practice location
4030 Mount Carmel Tobasco Rd
306E
Cincinnati, OH 45255-3400
Mailing address
4030 Mount Carmel Tobasco Rd
306E
Cincinnati, OH 45255-3400
Phone (513) 528-2245
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0646742 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
4030 Mount Carmel Tobasco Rd
Ste 306E
Cincinnati, OH 45255
Phone (513) 528-2245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207872000000",
"number": "1669645503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4030 MOUNT CARMEL TOBASCO RD",
"address_2": "306E",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452553400",
"telephone_number": "513-528-2245",
"fax_number": "513-528-2184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4030 MOUNT CARMEL TOBASCO RD",
"address_2": "306E",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452553400",
"telephone_number": "513-528-2245",
"fax_number": "513-528-2184"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSEPH F. WICKER, PSY.D. CLINICAL PSYCHOLOGIST, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-11",
"last_updated": "2008-04-11",
"status": "A",
"authorized_official_last_name": "WICKER",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "F.",
"authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "513-528-2245",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "3625",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0646742",
"state": "OH"
}
],
"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 Apr 11, 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.