1982664710 NPI number — UNIV OF CINCINNATI PSYCHOLOGICAL SERVICES

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982664710 NPI number — UNIV OF CINCINNATI PSYCHOLOGICAL SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNIV OF CINCINNATI PSYCHOLOGICAL SERVICES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1982664710
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
316 DYER HALL
Provider Second Line Business Mailing Address:
UNIVERSITY OF CINCINNATI PSYCHOLOGICAL SERVICES CENTER
Provider Business Mailing Address City Name:
CINCINNATI
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45221-0034
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
513-556-0648
Provider Business Mailing Address Fax Number:
513-556-2302

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
316 DYER HALL
Provider Second Line Business Practice Location Address:
UNIVERSITY OF CINCINNATI PSYCHOLOGICAL SERVICES CENTER
Provider Business Practice Location Address City Name:
CINCINNATI
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45221-0034
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
513-556-0648
Provider Business Practice Location Address Fax Number:
513-556-2302
Provider Enumeration Date:
03/24/2006

Additional Information

Authorized Official

Authorized Official Last Name:
YOKEN
Authorized Official First Name:
CAROL
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
513-556-0648

Provider Taxonomy Codes

  • Taxonomy code: 103T00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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