Provider Demographics
NPI:1992813919
Name:NEW INSIGHTS COMMUNICATION LLC
Entity type:Organization
Organization Name:NEW INSIGHTS COMMUNICATION LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:EVAN
Authorized Official - Last Name:O'GRADY
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:937-428-0724
Mailing Address - Street 1:7501 PARAGON RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45459-5318
Mailing Address - Country:US
Mailing Address - Phone:937-428-0724
Mailing Address - Fax:937-428-0824
Practice Address - Street 1:7501 PARAGON RD
Practice Address - Street 2:SUITE 200
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45459-5318
Practice Address - Country:US
Practice Address - Phone:937-428-0724
Practice Address - Fax:937-428-0824
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-29
Last Update Date:2008-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3388103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9352041Medicare ID - Type UnspecifiedMEDICARE GRP #
OHY31031Medicare UPIN