Provider Demographics
NPI:1467066597
Name:PSYCHWORKS LLC
Entity Type:Organization
Organization Name:PSYCHWORKS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RITCHIE
Authorized Official - Middle Name:V
Authorized Official - Last Name:HALL
Authorized Official - Suffix:II
Authorized Official - Credentials:PHD
Authorized Official - Phone:513-549-0646
Mailing Address - Street 1:PO BOX 18951
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45018-0951
Mailing Address - Country:US
Mailing Address - Phone:513-549-0646
Mailing Address - Fax:
Practice Address - Street 1:4239 HAMILTON AVE # 2A
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45223-2088
Practice Address - Country:US
Practice Address - Phone:513-549-0646
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-05
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)