Organization Active NPI

Jr Gatt, LLC

  • Clinical Social Worker
  • Cincinnati, OH
National Provider Identifier
1962028217
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JR GATT, LLC
Practice address
430 Reading Rd Ste 300
Cincinnati, OH 45202-1460
Phone
(513) 499-1765
NPI assigned
Jun 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Authorized official

Name
Jeralyn Boyd, LISWNPI 1962825687
Title
Owner
Phone
(513) 499-1765

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

430 Reading Rd Ste 300
Cincinnati, OH 45202-1460

Mailing address

8425 Cottonwood Dr Apt 3
Cincinnati, OH 45231-5930
Phone (513) 499-1765

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200818002027 OH Part B Supplier - Clinic/Group Practice 7517383748 Receives reassigned benefits from 1 practitioner
Practice locations: Cincinnati, OH

National Provider Directory

National Provider Directory

Locations

430 Reading Rd
Ste 300
Cincinnati, OH 45202
Phone (513) 213-0056

1118 Pendleton St
Ste 440
Cincinnati, OH 45202
Phone (513) 494-8191

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697760000000",
    "number": "1962028217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8425 COTTONWOOD DR APT 3",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452315930",
            "telephone_number": "513-499-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 READING RD STE 300",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452021460",
            "telephone_number": "513-499-1765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JR GATT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-23",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "JERALYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-499-1765",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 Oct 20, 2023; 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.