Organization Active NPI

Cincinnati Psychiatric Services, Inc

  • Psychiatry Physician
  • Cincinnati, OH
National Provider Identifier
1821267584
Registry record updated Aug 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35074810 Issued in OH
Legal business name
CINCINNATI PSYCHIATRIC SERVICES, INC
Practice address
10495 Montgomery Rd Ste 28
Cincinnati, OH 45242-4420
Phone
(513) 984-2333
Fax
(513) 984-8333
NPI assigned
Feb 27, 2008
Last updated
Aug 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2015

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

Authorized official

Name
Pat Gilbert
Title
Biller
Phone
(513) 984-2333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35074810 OH Primary

Addresses

Primary practice location

10495 Montgomery Rd Ste 28
Cincinnati, OH 45242-4420

Mailing address

10495 Montgomery Rd Ste 28
Cincinnati, OH 45242-4420
Phone (513) 984-2333

Other identifiers 1

IdentifierTypeStateIssuer
2210717MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080305000182 OH Part B Supplier - Clinic/Group Practice 6608951397 Receives reassigned benefits from 1 practitioner
Practice locations: Montgomery, OH

National Provider Directory

National Provider Directory

Locations

5945 Glenway Ave
Cincinnati, OH 45238
Phone (513) 802-7606

10495 Montgomery Rd
Ste 28
Montgomery, OH 45242
Phone (513) 321-0500

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439769600000",
    "number": "1821267584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10495 MONTGOMERY RD STE 28",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452424420",
            "telephone_number": "513-984-2333",
            "fax_number": "513-984-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10495 MONTGOMERY RD STE 28",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452424420",
            "telephone_number": "513-984-2333",
            "fax_number": "513-984-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CINCINNATI PSYCHIATRIC SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2015-08-17",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "PAT",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "513-984-2333"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35074810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2210717",
            "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 17, 2015; 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.