Organization Active NPI

Joseph F. Wicker, Psy.D. Clinical Psychologist, LLC.

  • Clinical Psychologist
  • Cincinnati, OH
National Provider Identifier
1669645503
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3625 Issued in OH
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

Updated by the provider on Apr 11, 2008

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0646742MedicaidOH

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.