NPIMap

Organization Active NPI

Chad D. Vickery, PH.D., LLC

  • Clinical Psychologist
  • Cincinnati, OH
National Provider Identifier
1861807927
Registry record updated Jun 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6807 Issued in OH
Legal business name
CHAD D. VICKERY, PH.D., LLC
Practice address
7654 Montgomery Rd
Cincinnati, OH 45236-4204
Phone
(513) 791-8849
Fax
(513) 791-8873
NPI assigned
Jun 27, 2014
Last updated
Jun 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2014

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

Authorized official

Name
Chad D. Vickery, PH.D.
Title
Sole Owner
Phone
(513) 791-8849

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6807 OH Primary

Addresses

Primary practice location

7654 Montgomery Rd
Cincinnati, OH 45236-4204

Mailing address

7654 Montgomery Rd
Cincinnati, OH 45236-4204
Phone (513) 791-8849

National Provider Directory

National Provider Directory

Locations

7654 Montgomery Rd
Cincinnati, OH 45236
Phone (513) 791-5150

Practitioners & affiliated clinicians

Practitioners 5

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": "1403827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403827200000",
    "number": "1861807927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7654 MONTGOMERY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452364204",
            "telephone_number": "513-791-8849",
            "fax_number": "513-791-8873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7654 MONTGOMERY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452364204",
            "telephone_number": "513-791-8849",
            "fax_number": "513-791-8873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAD D. VICKERY, PH.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-27",
        "last_updated": "2014-06-27",
        "status": "A",
        "authorized_official_last_name": "VICKERY",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "513-791-8849",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "6807",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 27, 2014; 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.