Individual provider Active NPI

Penelope Chavez-Frigon, PSY.D.

  • Clinical Psychologist
  • Cincinnati, OH
National Provider Identifier
1912005356
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6266 Issued in OH
Practice address
551 Batavia Pike
Cincinnati, OH 45244-1518
Phone
(513) 752-1555
Fax
(513) 753-2144
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6266 OH Primary

Addresses

Primary practice location

551 Batavia Pike
Cincinnati, OH 45244-1518

Mailing address

4605 Primer CT
Batavia, OH 45103-1165
Phone (513) 943-4746

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
I20210716002520 OH Practitioner - Clinical Psychologist 1355743006 Reassigns benefits to 1 organization
Practice locations: Cincinnati, OH

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6266OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Counseling Solutions, LLC CurrentSince Aug 1, 2022 Accepting new patients
Premier Mental Health Professionals Clinical Current Accepting new patients
Revivecincy LLC Past Accepting new patients

Locations

200 W Plane St
Ste 201
Bethel, OH 45106
Phone (513) 770-1705

431 Ohio Pike
Ste 312
Cincinnati, OH 45255
Phone (513) 335-3650

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912005356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 PRIMER CT",
            "city": "BATAVIA",
            "state": "OH",
            "postal_code": "451031165",
            "telephone_number": "513-943-4746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 BATAVIA PIKE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452441518",
            "telephone_number": "513-752-1555",
            "fax_number": "513-753-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ-FRIGON",
        "first_name": "PENELOPE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "6266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.