NPIMap

Organization Active NPI

Neuropsych Center of Greater Cincinnati LLC

  • Clinical Neuropsychologist
  • Cincinnati, OH
National Provider Identifier
1801241237
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
NEUROPSYCH CENTER OF GREATER CINCINNATI LLC
Practice address
4015 Executive Park Dr Ste 320
Cincinnati, OH 45241-4015
Phone
(513) 563-0488
Fax
(513) 563-0428
NPI assigned
May 4, 2016
Last updated
Feb 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Authorized official

Name
Ms. Timothy Sigward, PHDNPI 1942255039
Title
Owner
Phone
(513) 563-0488

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
Clinical Neuropsychologist 103G00000X Primary
Clinical Psychologist 103TC0700X
Clinical Social Worker 1041C0700X
Neurology Physician 2084N0400X
Psychiatry Physician 2084P0800X
Speech-Language Pathologist 235Z00000X

Addresses

Primary practice location

4015 Executive Park Dr Ste 320
Cincinnati, OH 45241-4015

Mailing address

4015 Executive Park Dr Ste 320
Cincinnati, OH 45241-4015
Phone (513) 563-0488

Other identifiers 1

IdentifierTypeStateIssuer
0177147MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160707001716 OH Part B Supplier - Clinic/Group Practice 2567754815 Receives reassigned benefits from 27 practitioners
Practice locations: Cincinnati, OH; Loveland, OH; Mason, OH; Blue Ash, OH
O20230110001647 KY Part B Supplier - Clinic/Group Practice 2567754815 Receives reassigned benefits from 2 practitioners
Practice locations: Florence, KY

National Provider Directory

National Provider Directory
Tax ID family
Neuropsych Center of Greater Cincinnati LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

11501 Hamilton Ave
Cincinnati, OH 45231
Phone (513) 648-7000

5799 Bridgetown Rd
Cincinnati, OH 45248
Phone (513) 401-7156

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1801241237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 EXECUTIVE PARK DR STE 320",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452414015",
            "telephone_number": "513-563-0488",
            "fax_number": "513-563-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 EXECUTIVE PARK DR STE 320",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452414015",
            "telephone_number": "513-563-0488",
            "fax_number": "513-563-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROPSYCH CENTER OF GREATER CINCINNATI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-04",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A",
        "authorized_official_last_name": "SIGWARD",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-563-0488",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0177147",
            "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 Feb 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare 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.