Provider Demographics
NPI:1700095270
Name:ELLEN FRANKENBERG PHD
Entity Type:Organization
Organization Name:ELLEN FRANKENBERG PHD
Other - Org Name:FAMILY HEALTH RESOURCES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:FRANKENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:513-729-1511
Mailing Address - Street 1:800 COMPTON RD UNIT 27
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-3850
Mailing Address - Country:US
Mailing Address - Phone:513-729-1511
Mailing Address - Fax:513-729-1022
Practice Address - Street 1:800 COMPTON RD UNIT 27
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-3850
Practice Address - Country:US
Practice Address - Phone:513-729-1511
Practice Address - Fax:513-729-1022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2499106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000189252OtherANTHEM PIN
OH0226473Medicaid
OH0226473Medicaid