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9900 Cincinnati Columbus Rd Cincinnati OH 45241-1209 | |
| (513) 779-9955 | |
| (513) 779-9955 |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 9900 Cincinnati Columbus Rd, Cincinnati, Ohio |
| Authorized Official Name and Position | Stephen Bernard Heilman (DIRECTOR) |
| Authorized Official Contact | 5137799955 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
9900 Cincinnati Columbus Rd Cincinnati OH 45241-1209 Ph: (513) 779-9955 | 9900 Cincinnati Columbus Rd Cincinnati OH 45241-1209 Ph: (513) 779-9955 |
| NPI Number | 1710164926 |
|---|---|
| Provider Enumeration Date | 01/30/2008 |
| Last Update Date | 07/12/2024 |
| Certification Date | 07/12/2024 |
| Medicare PECOS PAC ID | 8921031154 |
|---|---|
| Medicare Enrollment ID | O20050916000870 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710164926 | NPI | - | NPPES |
| 10661 | Other | MEDICARE HECP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 3131 (Ohio) | Primary |
| Provider Name | Stephen B Heilman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396851929 PECOS PAC ID: 7012940257 Enrollment ID: I20120806000681 |
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