1770693889 NPI number — GEROPSYCHOLOGY CONSULTANTS INC

Table of content: (NPI 1770693889)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1770693889 NPI number — GEROPSYCHOLOGY CONSULTANTS INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GEROPSYCHOLOGY CONSULTANTS INC
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:
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:
1770693889
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 30264
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CINCINNATI
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45230
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
513-233-3500
Provider Business Mailing Address Fax Number:
513-233-3501

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4030 MT CARMEL TOBASCO RD
Provider Second Line Business Practice Location Address:
STE 306D
Provider Business Practice Location Address City Name:
CINCINNATI
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45255
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
513-233-3500
Provider Business Practice Location Address Fax Number:
513-233-3501
Provider Enumeration Date:
08/30/2006

Additional Information

Authorized Official

Authorized Official Last Name:
NORMAN
Authorized Official First Name:
SUZANNE
Authorized Official Middle Name:
M
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
513-233-3500

Provider Taxonomy Codes

  • Taxonomy code: 103T00000X , with the licence number:  5372 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 2506612 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".




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