Active NPI
Michele Pelnick, PHD
- Psychologist
- Cincinnati, OH
National Provider Identifier
1740420827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 5784
- Practice address
- 4500 Cooper Rd Ste 303
Cincinnati, OH 45242-5600 - Phone
- (513) 940-9175
- Fax
- (513) 940-9176
- NPI assigned
- Mar 2, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 5784 | OH | Primary |
Addresses
Primary practice location
4500 Cooper Rd Ste 303
Cincinnati, OH 45242-5600
Mailing address
4500 Cooper Rd Ste 303
Cincinnati, OH 45242-5600
Phone (513) 940-9175
Other names 1
- Michele Wood
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Sep 12, 2023 through Sep 12, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5784 | OH | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697500800000",
"number": "1740420827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 COOPER RD STE 303",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452425600",
"telephone_number": "513-940-9175",
"fax_number": "513-940-9176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 COOPER RD STE 303",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452425600",
"telephone_number": "513-940-9175",
"fax_number": "513-940-9176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELNICK",
"first_name": "MICHELE",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-02",
"last_updated": "2023-10-17",
"certification_date": "2023-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "5784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELE",
"last_name": "WOOD",
"code": "5",
"type": "Other Name"
}
]
}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 Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.