| Neuropsych Center Of Greater Cincinnati Llc | |
|
4015 Executive Park Dr Ste 320 Cincinnati OH 45241-4015 | |
| (513) 563-0488 | |
| (513) 563-0428 |
| Full Name | Neuropsych Center Of Greater Cincinnati Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 4015 Executive Park Dr Ste 320, Cincinnati, Ohio |
| Authorized Official Name and Position | Timothy Sigward (OWNER) |
| Authorized Official Contact | 5135630488 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuropsych Center Of Greater Cincinnati Llc 4015 Executive Park Dr Ste 320 Cincinnati OH 45241-4015 Ph: (513) 563-0488 | Neuropsych Center Of Greater Cincinnati Llc 4015 Executive Park Dr Ste 320 Cincinnati OH 45241-4015 Ph: (513) 563-0488 |
| NPI Number | 1801241237 |
|---|---|
| Provider Enumeration Date | 05/04/2016 |
| Last Update Date | 02/10/2023 |
| Certification Date | 02/10/2023 |
| Medicare PECOS PAC ID | 2567754815 |
|---|---|
| Medicare Enrollment ID | O20160707001716 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801241237 | NPI | - | NPPES |
| 0177147 | Medicaid | OH |
| Provider Name | Michael Borack |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568549913 PECOS PAC ID: 6800894494 Enrollment ID: I20061114000473 |
| Provider Name | Richard Rutz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760659692 PECOS PAC ID: 9931279684 Enrollment ID: I20080606000299 |
| Provider Name | Babu Venkatesh Gupta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598763856 PECOS PAC ID: 2264506344 Enrollment ID: I20080807000400 |
| Provider Name | Frank Wood |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447401849 PECOS PAC ID: 1052472966 Enrollment ID: I20081211000000 |
| Provider Name | Timothy M Sigward |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942255039 PECOS PAC ID: 8527038645 Enrollment ID: I20100528000320 |
| Provider Name | Cherry Ronnette Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154633865 PECOS PAC ID: 9537308028 Enrollment ID: I20130612000729 |
| Provider Name | Shana Feibel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154612992 PECOS PAC ID: 5193025096 Enrollment ID: I20151125001284 |
| Provider Name | Lyn Sontag |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154455400 PECOS PAC ID: 4789950866 Enrollment ID: I20171017001795 |
| Provider Name | Catherine Rand |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952802761 PECOS PAC ID: 9335401249 Enrollment ID: I20180312002426 |
| Provider Name | Chana Crystal |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407355266 PECOS PAC ID: 4880938018 Enrollment ID: I20181129000688 |
| Provider Name | Kelly Marie Heitkamp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336611524 PECOS PAC ID: 4183955321 Enrollment ID: I20191018002037 |
| Provider Name | Kristin Cooley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982227161 PECOS PAC ID: 1355762352 Enrollment ID: I20200529001331 |
| Provider Name | Sheryl List |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962020875 PECOS PAC ID: 9032535125 Enrollment ID: I20200819004006 |
| Provider Name | Mary Lloyd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003365578 PECOS PAC ID: 6507265246 Enrollment ID: I20210528000981 |
| Provider Name | Allison Elizabeth Sirkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003542291 PECOS PAC ID: 0345624789 Enrollment ID: I20220901003362 |
| Provider Name | Amber Whitlatch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891406401 PECOS PAC ID: 4688048663 Enrollment ID: I20230314001175 |
| Provider Name | Brynn T Pembroke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033453295 PECOS PAC ID: 9234575648 Enrollment ID: I20240307003193 |
| Provider Name | Amanpreet Randazzo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467696823 PECOS PAC ID: 6800948480 Enrollment ID: I20240417002765 |
| Provider Name | Sherrie Ann Kleinholz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982035200 PECOS PAC ID: 3173963972 Enrollment ID: I20240426001611 |
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