| Psychcare Inc | |
|
8118 Corporate Way Ste 121 Mason OH 45040 | |
| (513) 919-5860 | |
| (513) 677-9293 |
| Full Name | Psychcare Inc |
|---|---|
| Speciality | Psychologist |
| Location | 8118 Corporate Way Ste 121, Mason, Ohio |
| Authorized Official Name and Position | Judith A Condit (PRESIDENT) |
| Authorized Official Contact | 5139195860 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychcare Inc 11985 Harbortown Dr Cincinnati OH 45249-1757 Ph: (513) 919-5860 | Psychcare Inc 8118 Corporate Way Ste 121 Mason OH 45040 Ph: (513) 919-5860 |
| NPI Number | 1336355890 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 09/07/2018 |
| Medicare PECOS PAC ID | 5395817951 |
|---|---|
| Medicare Enrollment ID | O20080626000628 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336355890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (Ohio) | Primary |
| Provider Name | Judith A Condit |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528277456 PECOS PAC ID: 6002988664 Enrollment ID: I20080627000097 |
| Provider Name | John A Peltz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609085570 PECOS PAC ID: 4284706847 Enrollment ID: I20080627000147 |
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