Active NPI
Marilyn R Wander, PH.D.
- Clinical Psychologist
- Cincinnati, OH
National Provider Identifier
1992771679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5564
- Practice address
- 3253 N Bend Rd
Cincinnati, OH 45239-7610 - Phone
- (513) 622-9900
- Fax
- (513) 622-9902
- NPI assigned
- Feb 23, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 5564 | OH | Primary |
| Health Service Psychologist | 103TH0100X | 5564 | OH |
Addresses
Primary practice location
3253 N Bend Rd
Cincinnati, OH 45239-7610
Mailing address
3253 N Bend Rd
Cincinnati, OH 45239-7610
Phone (513) 662-9900
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87726 | Other | OH | UBH |
| 45020-0001 | Other | OH | CARE SOURCE |
| 2267792 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hamilton Health Associates Inc | Clinical | Past | Accepting new patients |
| Town and Country Chiro Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Hamilton, OH
- NPI 1215977996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282521600000",
"number": "1992771679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3253 N BEND RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452397610",
"telephone_number": "513-662-9900",
"fax_number": "513-662-9902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3253 N BEND RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452397610",
"telephone_number": "513-622-9900",
"fax_number": "513-622-9902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANDER",
"first_name": "MARILYN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-23",
"last_updated": "2010-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "5564",
"primary": true
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "OH",
"license": "5564",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH",
"identifier": "87726",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE SOURCE",
"identifier": "45020-0001",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2267792",
"state": "OH"
}
],
"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 Aug 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.