Individual provider Active NPI

Ritchie Von Hall II, PH.D.

  • Psychologist
  • Cincinnati, OH
National Provider Identifier
1679069017
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
4015 Executive Park Dr Ste 215
Cincinnati, OH 45241-2080
Phone
(513) 549-0646
NPI assigned
Jul 9, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

4015 Executive Park Dr Ste 215
Cincinnati, OH 45241-2080

Mailing address

PO Box 18951
Fairfield, OH 45018-0951
Phone (513) 549-0646

Other practice location 1

5020 College Corner Pike Ste A1
Oxford, OH 45056-1162
Phone (513) 549-0646

Other identifiers 1

IdentifierTypeStateIssuer
430553MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240910001301 OH Practitioner - Clinical Psychologist 1456891019 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Overview Transitional Housing LLC CurrentSince May 19, 2024 Accepting new patients
Psychworks LLC Psychologist CurrentSince Jan 1, 2025 Accepting new patients
Overview Transitional Housing LLC CurrentSince May 19, 2024 Accepting new patients
Roane Therapy LLC PastSince Sep 13, 2020 Accepting new patients

Locations

4015 Executive Park Dr
Ste 215
Cincinnati, OH 45241
Phone (513) 549-0646

270 Northland Blvd
Ste 213
Cincinnati, OH 45246
Phone (513) 461-2158

700 Wessel Dr
Fairfield, OH 45014

700 Wessel Dr
Ste 18951
Fairfield, OH 45014

5020 College Corner Pike
Ste A1
Oxford, OH 45056
Phone (513) 549-0646

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/overviewtransitionalhousing/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1679069017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18951",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450180951",
            "telephone_number": "513-549-0646",
            "fax_number": "513-558-5076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 EXECUTIVE PARK DR STE 215",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452412080",
            "telephone_number": "513-549-0646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5020 College Corner Pike Ste A1",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "OH",
            "postal_code": "450561162",
            "country_code": "US",
            "telephone_number": "513-549-0646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "RITCHIE",
        "middle_name": "VON",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-09",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "430553",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.