| Cincinnati Psychiatric Services, Inc | |
|
10495 Montgomery Rd Ste 28 Cincinnati OH 45242-4420 | |
| (513) 984-2333 | |
| (513) 984-8333 |
| Full Name | Cincinnati Psychiatric Services, Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 10495 Montgomery Rd Ste 28, Cincinnati, Ohio |
| Authorized Official Name and Position | Pat Gilbert (BILLER) |
| Authorized Official Contact | 5139842333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cincinnati Psychiatric Services, Inc 10495 Montgomery Rd Ste 28 Cincinnati OH 45242-4420 Ph: (513) 984-2333 | Cincinnati Psychiatric Services, Inc 10495 Montgomery Rd Ste 28 Cincinnati OH 45242-4420 Ph: (513) 984-2333 |
| NPI Number | 1821267584 |
|---|---|
| Provider Enumeration Date | 02/27/2008 |
| Last Update Date | 08/17/2015 |
| Medicare PECOS PAC ID | 6608951397 |
|---|---|
| Medicare Enrollment ID | O20080305000182 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821267584 | NPI | - | NPPES |
| 2210717 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 35074810 (Ohio) | Primary |
| Provider Name | Hima B Kode |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174617807 PECOS PAC ID: 0345325031 Enrollment ID: I20080305000176 |
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