Active NPI
Robert R Nestheide, PH.D.
- Psychologist
- Harrison, OH
National Provider Identifier
1801988712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4197
- Practice address
- 10450 New Haven Rd
ML 6008
Harrison, OH 45030 - Phone
- (513) 636-6500
- Fax
- (513) 636-6534
- NPI assigned
- Sep 28, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 | 4197 | OH | Primary |
Addresses
Primary practice location
10450 New Haven Rd
ML 6008
Harrison, OH 45030
Mailing address
3333 Burnet Ave
ML 5021
Cincinnati, OH 45229-3039
Phone (513) 636-4225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4197 | OH | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801988712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 BURNET AVE",
"address_2": "ML 5021",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452293039",
"telephone_number": "513-636-4225",
"fax_number": "513-636-2511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10450 NEW HAVEN RD",
"address_2": "ML 6008",
"city": "HARRISON",
"state": "OH",
"postal_code": "45030",
"telephone_number": "513-636-6500",
"fax_number": "513-636-6534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NESTHEIDE",
"first_name": "ROBERT",
"middle_name": "R",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "4197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harrison, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.