Individual provider Active NPI

Lisa Braverman, PHD

  • Clinical Psychologist
  • Cincinnati, OH
National Provider Identifier
1861947822
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6592 Issued in OH
Practice address
4750 E Galbraith Rd Ste 210
Cincinnati, OH 45236-6705
Phone
(513) 215-8825
NPI assigned
Aug 19, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 6592 OH
Clinical Psychologist 103TC0700X 6592 OH Primary

Addresses

Primary practice location

4750 E Galbraith Rd Ste 210
Cincinnati, OH 45236-6705

Mailing address

4750 E Galbraith Rd Ste 210
Cincinnati, OH 45236-6705
Phone (513) 215-8825

Other practice location 1

10475 Reading Rd Ste 405
Cincinnati, OH 45241-2500
Phone (513) 585-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170719003935 OH Practitioner - Clinical Psychologist 9638449978 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1701 Mercy Ctr PL
Cincinnati, OH 45237-6147

4685 Forest Ave
Suite C
Cincinnati, OH 45212-3359

5908 Giffindale Dr
Cincinnati, OH 45239-6261

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6592OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth H LLC CurrentSince Sep 16, 2022 Accepting new patients
Trihealth G LLC CurrentSince Jun 12, 2017 Accepting new patients
Trihealth G, LLC CurrentSince Jun 12, 2017 Accepting new patients

Locations

375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432

9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

10475 Reading Rd
Ste 405
Cincinnati, OH 45241
Phone (513) 585-9600

375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452

379 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-1400

4685 Forest Ave
Ste C
Norwood, OH 45212
Phone (513) 246-7796

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1861947822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 E GALBRAITH RD STE 210",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452366705",
            "telephone_number": "513-215-8825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 E GALBRAITH RD STE 210",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452366705",
            "telephone_number": "513-215-8825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10475 Reading Rd Ste 405",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452412500",
            "country_code": "US",
            "telephone_number": "513-585-9600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAVERMAN",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-19",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "OH",
            "license": "6592",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "6592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.