Adrienne Swift Psychological Services LLC

Key facts

NPI: 1669649232
Entity type: Organization (NPI type 2)
Primary specialty: Clinical Psychologist 103TC0700X
License: 6031 (OH)
Legal business name: ADRIENNE SWIFT PSYCHOLOGICAL SERVICES LLC
Practice address: 8080 Beckett Center Dr
Suite 313
West Chester, OH 45069-5026
Phone: (513) 860-2313
Fax: (513) 860-4192
NPI assigned: May 13, 2008
Organization subpart: No

Authorized official

Name: Dr. Adrienne Elizabeth Swift, PH.D. NPI 1215993852
Title: Clinical Psychologist
Phone: (513) 860-2313

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 3

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

Adrienne Swift, PH.D. Clinical Psychologist · West Chester, OH · NPI 1215993852

Medicare reassignment NPD Authorized official CLINICAL · OH
Jayne M Malpede, PHD Clinical Psychologist · West Chester, OH · NPI 1700842325

NPD (past) CLINICAL
Bradley David Rubin, L.I.S.W. Clinical Social Worker · West Chester, OH · NPI 1134261308

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Enrolled in OH

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20080515000505	OH	Part B Supplier - Clinic/Group Practice	1153490289	Receives reassigned benefits from 1 practitioner Practice locations: West Chester, OH

National Provider Directory

Locations

8080 Beckett Center Dr
Ste 313
West Chester, OH 45069
Phone (513) 476-3329

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Psychologist Group: 193400000X SINGLE SPECIALTY GROUP	103TC0700X	6031	OH	Yes

Addresses

Primary practice location

8080 Beckett Center Dr
Suite 313
West Chester, OH 45069-5026

Mailing address

4220 Tylers Estates Dr
West Chester, OH 45069-8533
Phone (513) 860-2313

Other identifiers

Identifier	Type	State	Issuer
P00399852	Other	OH	RAILROAD MEDICARE PTAN
2641949	Medicaid	OH

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 13, 2008.

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1669649232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 TYLERS ESTATES DR",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450698533",
            "telephone_number": "513-860-2313",
            "fax_number": "513-860-4192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 BECKETT CENTER DR",
            "address_2": "SUITE 313",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450695026",
            "telephone_number": "513-860-2313",
            "fax_number": "513-860-4192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADRIENNE SWIFT PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "SWIFT",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "513-860-2313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "6031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P00399852",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2641949",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

All providers in West Chester, OH · Clinical Psychologist in Ohio

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2008. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.