Provider Demographics
NPI:1336355890
Name:PSYCHCARE INC
Entity Type:Organization
Organization Name:PSYCHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:A
Authorized Official - Last Name:CONDIT
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:513-919-5860
Mailing Address - Street 1:11985 HARBORTOWN DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45249-1757
Mailing Address - Country:US
Mailing Address - Phone:513-919-5860
Mailing Address - Fax:
Practice Address - Street 1:8118 CORPORATE WAY STE 121
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040
Practice Address - Country:US
Practice Address - Phone:513-919-5860
Practice Address - Fax:513-677-9293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2018-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty