Organization Active NPI

Ibg Enterprises, Inc.

  • Psychologist
  • Cincinnati, OH
National Provider Identifier
1710185475
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
OH3371 Issued in OH
Legal business name
IBG ENTERPRISES, INC.
Practice address
9900 Carver Rd
Suite 101
Cincinnati, OH 45242-5523
Phone
(513) 221-2001
Fax
(513) 961-7444
NPI assigned
Jul 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Irene B. Giessl, ED.D.
Title
Psychologist
Phone
(513) 221-2001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X OH3371 OH Primary

Addresses

Primary practice location

9900 Carver Rd
Suite 101
Cincinnati, OH 45242-5523

Mailing address

9900 Carver Rd
Suite 101
Cincinnati, OH 45242-5523
Phone (513) 221-2001

Other identifiers 2

IdentifierTypeStateIssuer
0800459MedicaidOH
386448939-00OtherOHBWC - PSYCHOLOGIST

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1183507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710185475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 CARVER RD",
            "address_2": "SUITE 101",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452425523",
            "telephone_number": "513-221-2001",
            "fax_number": "513-961-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 CARVER RD",
            "address_2": "SUITE 101",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452425523",
            "telephone_number": "513-221-2001",
            "fax_number": "513-961-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBG ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GIESSL",
        "authorized_official_first_name": "IRENE",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "513-221-2001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "OH",
            "license": "OH3371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0800459",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC - PSYCHOLOGIST",
            "identifier": "386448939-00",
            "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 Aug 22, 2020; 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.