Provider Demographics
NPI:1568420503
Name:BECK, STEPHEN CRAIG (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:CRAIG
Last Name:BECK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1410 SPRINGFIELD PIKE
Mailing Address - Street 2:APT 62D
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45215-2156
Mailing Address - Country:US
Mailing Address - Phone:513-522-0800
Mailing Address - Fax:513-522-0806
Practice Address - Street 1:1410 SPRINGFIELD PIKE
Practice Address - Street 2:APT 62D
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45215-2156
Practice Address - Country:US
Practice Address - Phone:513-522-0800
Practice Address - Fax:513-522-0806
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-01
Last Update Date:2017-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.0395652084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0448304Medicaid
OHD32043Medicare UPIN
OH0448304Medicaid