Provider Demographics
NPI:1790222065
Name:NEUROPSYCH CENTER OF GREATER CINCINNATI
Entity Type:Organization
Organization Name:NEUROPSYCH CENTER OF GREATER CINCINNATI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:SIGWARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-563-0488
Mailing Address - Street 1:20 N GRAND AVE
Mailing Address - Street 2:SUITE 8
Mailing Address - City:FORT THOMAS
Mailing Address - State:KY
Mailing Address - Zip Code:41075-4106
Mailing Address - Country:US
Mailing Address - Phone:513-891-0650
Mailing Address - Fax:
Practice Address - Street 1:20 N GRAND AVE
Practice Address - Street 2:SUITE 8
Practice Address - City:FORT THOMAS
Practice Address - State:KY
Practice Address - Zip Code:41075-4106
Practice Address - Country:US
Practice Address - Phone:513-891-0650
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-25
Last Update Date:2018-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty