Individual provider Active NPI

Mary H Bibb, MD

  • Psychiatry Physician
  • Cincinnati, OH
National Provider Identifier
1962578849
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35042105 Issued in OH
Practice address
2567 Erie Ave
2ND FL
Cincinnati, OH 45208
Phone
(513) 321-8500
Fax
(513) 321-9888
NPI assigned
Nov 24, 2006
Sex
Female
Sole proprietor
No

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
Psychiatry Physician 2084P0800X 35042105 OH Primary

Addresses

Primary practice location

2567 Erie Ave
2ND FL
Cincinnati, OH 45208

Mailing address

2567 Erie Ave
2ND FL
Cincinnati, OH 45208
Phone (513) 321-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 1, 2013 through Jul 1, 2027

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962578849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2567 ERIE AVE",
            "address_2": "2ND FL",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45208",
            "telephone_number": "513-321-8500",
            "fax_number": "513-321-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2567 ERIE AVE",
            "address_2": "2ND FL",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45208",
            "telephone_number": "513-321-8500",
            "fax_number": "513-321-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIBB",
        "first_name": "MARY",
        "middle_name": "H",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35042105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.