GREATER CINCINNATI BEHAVIORAL NEUROSCIENCE CENTER LLC (NPI# 1013150960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013150960 |
| Entity Type | Organization |
| Organization Name | GREATER CINCINNATI BEHAVIORAL NEUROSCIENCE CENTER LLC |
| Practice Address |
5240 E Galbraith Road Cincinnati OH 45236-2877 |
| Mailing Address |
5240 E Galbraith Rd Cincinnati OH 45236-2877 |
| Practice Telephone | 5137455000 |
| Practice Fax Number | 5137917800 |
| Mailing Telephone | 5137455000 |
| Mailing Fax Number | 5137917800 |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2012-11-16 |
| Authorized Official Name | DR. RENU KOTWAL (PHYSICIAN) |
| Authorized Official Telephone | 5137455000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Street Address |
5240 E GALBRAITH ROAD |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45236-2877 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700400975 | Kimberly Lorraine Carter | Technician | 3870 Alta Avenue, # 1, Cincinnati, OH 45236 | 2020-06-03 |
| 1548880032 | Manu Jacob George | Student in an Organized Health Care Education/Training Program | 4777 East Galbraith Road The Jewish Hospital, Cincinnati, OH 45236 | 2020-04-24 |
| 1497384374 | Haider Hussain Shah | Student in an Organized Health Care Education/Training Program | 4777 E. Galbraith Road, The Jewish Hospital, Cincinnati, OH 45236 | 2020-04-03 |
| 1467091868 | Wickshire Deer Park Opco LLC | Assisted Living Facility | 3801 East Galbraith Road, Cincinnati, OH 45236 | 2020-01-02 |
| 1205497633 | Nicholas Theodore D'entremont | Student in an Organized Health Care Education/Training Program | 4777 E. Galbraith Street - Jewish Hospital, Cincinnati, OH 45236 | 2019-06-26 |
| 1407410699 | Atchayaa Gunasekharan | Student in an Organized Health Care Education/Training Program | 4777 East Galbraith Road, Cincinnati, OH 45236 | 2019-04-24 |
| 1225591043 | Lauren Elizabeth Hamilton | Student in an Organized Health Care Education/Training Program | 4777 East Galbraith Rd, Cincinnati, OH 45236 | 2019-04-09 |
| 1972093714 | Hassan Shafique | Student in an Organized Health Care Education/Training Program | 4777 E Galbraith, Cincinnati, OH 45236 | 2018-05-17 |
| 1912494915 | Milica Antic | Student in an Organized Health Care Education/Training Program | The Jewish Hospital, 4777 East Galbraith Rd, Cincinnati, OH 45236 | 2018-04-16 |
| 1376041061 | Angela Eten | Nurse Practitioner | 4700 E Galbraith Rd Ste 301, Cincinnati, OH 45236 | 2018-01-27 |
| Find all providers in zip 45236 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952751471 | Mohamed Ridha | Psychiatry & Neurology | 260 Stetson Street Suite 2300, Mail Location 0525, Cincinnati, OH 45267-1552 | 2016-06-15 |
| 1477940369 | Robert Joseph Stanton II | Psychiatry & Neurology | 3130 Highland Ave Fl 2, Uc Health Neurology Clinic, Cincinnati, OH 45219-2399 | 2015-04-20 |
| 1518118702 | Helard Alfredo Miranda | Psychiatry & Neurology | 222 Senator Pl Apt 50, Cincinnati, OH 45220-1725 | 2008-10-06 |
| 1043362445 | Charles Victor Abler | Psychiatry & Neurology | 939 Monastery St, Cincinnati, OH 45202-1510 | 2007-01-17 |
| 1982701405 | Robert Reed | Psychiatry & Neurology | 111 Wellington Place, Cincinnati, OH 45219 | 2006-09-19 |
| 1447271705 | Cincy Sleep and Neurology Centers Pllc | Psychiatry & Neurology | 3645 Stonecreek Blvd, Suite E, Cincinnati, OH 45251-1469 | 2006-07-22 |
| 1528003548 | Marsha S Smith | Psychiatry & Neurology | 4805 Montgomery Rd Ste 410, Cincinnati, OH 45212-2280 | 2006-06-17 |
| 1033198171 | Bashar Brijawi | Psychiatry & Neurology | 3301 Mercy Health Blvd Ste 300, Cincinnati, OH 45211-1109 | 2006-01-16 |
| 1891348041 | Jennifer Sharma | Psychiatry & Neurology | 3113 Bellevue Ave, Cincinnati, OH 45219-3158 | 2019-07-17 |
| 1396260436 | Serena Laura Orr | Psychiatry & Neurology | 3333 Burnet Ave, Cincinnati, OH 45229-3026 | 2017-08-10 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45236 |
Please comment or provide details below to improve the information on GREATER CINCINNATI BEHAVIORAL NEUROSCIENCE CENTER LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.