NEUROPSYCH CENTER OF GREATER CINCINNATI LLC NPI 1801241237

NPI Information

NPI: 1801241237
Provider Name: NEUROPSYCH CENTER OF GREATER CINCINNATI LLC
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Organization
CLIA Number: 36D2172717
Address: 4015 EXECUTIVE PARK DR STE 320
CINCINNATI, OH
ZIP 45241
Phone: (513) 563-0488

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NPI Details

NEUROPSYCH CENTER OF GREATER CINCINNATI LLC is a clinical neuropsychologist in Cincinnati, OH. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. NEUROPSYCH CENTER OF GREATER CINCINNATI LLC NPI is 1801241237. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4015 EXECUTIVE PARK DR STE 320
CINCINNATI, OH
ZIP 45241-015
Phone: (513) 563-0488
Fax: (513) 563-0428

The provider's authorized official is Timothy Sigward .
The authorized official title is Owner and has the following contact phone number (513) 563-0488.

The CLIA number assigned to this NPI record is 36D2172717 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/4/2016 and was last updated on 2/10/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	No
2	103TC0700X	Psychologist	Clinical	No
3	1041C0700X	Social Worker	Clinical	No
4	2084N0400X	Psychiatry & Neurology	Neurology	No
5	2084P0800X	Psychiatry & Neurology	Psychiatry	No
6	235Z00000X	Speech-Language Pathologist		No
7	103G00000X	Clinical Neuropsychologist		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0177147	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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