| Greater Cincinnati Behavioral Health Services | |
|
1501 Madison Rd Walnut Hills OH 45206-1706 | |
| (513) 354-7000 | |
| (513) 354-7115 |
| Full Name | Greater Cincinnati Behavioral Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 1501 Madison Rd, Walnut Hills, Ohio |
| Authorized Official Name and Position | Jeff O'neil (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5133547001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Cincinnati Behavioral Health Services Po Box 6296 Cincinnati OH 45206-6296 Ph: (513) 354-7000 | Greater Cincinnati Behavioral Health Services 1501 Madison Rd Walnut Hills OH 45206-1706 Ph: (513) 354-7000 |
| NPI Number | 1588626097 |
|---|---|
| Provider Enumeration Date | 04/03/2006 |
| Last Update Date | 05/05/2014 |
| Medicare PECOS PAC ID | 3870498355 |
|---|---|
| Medicare Enrollment ID | O20031208000060 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588626097 | NPI | - | NPPES |
| 2473943 | Medicaid | OH | |
| 0241045 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Tracey Goodman Skale |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003830647 PECOS PAC ID: 2365348653 Enrollment ID: I20031209000121 |
| Provider Name | Marcia Anne Johns |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669543609 PECOS PAC ID: 7517855646 Enrollment ID: I20040309001031 |
| Provider Name | Sanford Logan Jones |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235153065 PECOS PAC ID: 8123096070 Enrollment ID: I20040920000474 |
| Provider Name | Peggy B Foster |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1013023373 PECOS PAC ID: 5799789616 Enrollment ID: I20060907000546 |
| Provider Name | Neal W Dunsieth |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245324961 PECOS PAC ID: 2567542004 Enrollment ID: I20080109000435 |
| Provider Name | Katherine Schmidt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457440802 PECOS PAC ID: 3476551813 Enrollment ID: I20080915000139 |
| Provider Name | Dianne M Dehaven |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1629126388 PECOS PAC ID: 9830113364 Enrollment ID: I20090520000030 |
| Provider Name | John W Wirick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922260454 PECOS PAC ID: 1658535976 Enrollment ID: I20120615000468 |
| Provider Name | Michelle M Whitford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548515455 PECOS PAC ID: 4880848472 Enrollment ID: I20130207000144 |
| Provider Name | Keshia Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568706307 PECOS PAC ID: 0648416339 Enrollment ID: I20130425000299 |
| Provider Name | Amy Trent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437571635 PECOS PAC ID: 2365671161 Enrollment ID: I20140127000355 |
| Provider Name | Hasan Bakhtier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689721524 PECOS PAC ID: 4981749215 Enrollment ID: I20150610002672 |
| Provider Name | David Edward Karol |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609042316 PECOS PAC ID: 5890006704 Enrollment ID: I20150618002622 |
| Provider Name | Lashandra N Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255679049 PECOS PAC ID: 8123338381 Enrollment ID: I20151030001713 |
| Provider Name | Teresa D Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265890164 PECOS PAC ID: 3577861467 Enrollment ID: I20160408001310 |
| Provider Name | Benjamin List |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780924746 PECOS PAC ID: 3870808025 Enrollment ID: I20161201001620 |
| Provider Name | Amy R Seese |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033598016 PECOS PAC ID: 2668785148 Enrollment ID: I20170126000941 |
| Provider Name | Antoinette F Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477797231 PECOS PAC ID: 3870888746 Enrollment ID: I20170406002988 |
| Provider Name | Andrew Stryker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841664364 PECOS PAC ID: 1153607726 Enrollment ID: I20170413001694 |
| Provider Name | Debra L Demarcus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215481619 PECOS PAC ID: 9335426444 Enrollment ID: I20170427000858 |
| Provider Name | Mary F Hill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780834408 PECOS PAC ID: 8325315120 Enrollment ID: I20170526001995 |
| Provider Name | Jemila Raji |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740530310 PECOS PAC ID: 2769750959 Enrollment ID: I20170612001729 |
| Provider Name | Tiya Shalyse Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154696359 PECOS PAC ID: 6507148764 Enrollment ID: I20170808002251 |
| Provider Name | Rami Abukamil |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346685286 PECOS PAC ID: 9335440577 Enrollment ID: I20170908002380 |
| Provider Name | Stephanie M Albertz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982127197 PECOS PAC ID: 3072872845 Enrollment ID: I20180124002082 |
| Provider Name | Emily A Maiorana |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154834224 PECOS PAC ID: 7214299122 Enrollment ID: I20180312002597 |
| Provider Name | Lawrence Mcnickles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689189334 PECOS PAC ID: 6204198583 Enrollment ID: I20180326002673 |
| Provider Name | Kimberly Haubner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265946263 PECOS PAC ID: 3971867243 Enrollment ID: I20180514002885 |
| Provider Name | Tamera N Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750731089 PECOS PAC ID: 2163772666 Enrollment ID: I20180904002556 |
| Provider Name | Bethany Weber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558876979 PECOS PAC ID: 8729330360 Enrollment ID: I20181010001724 |
| Provider Name | Lonna Larger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629555321 PECOS PAC ID: 9931445905 Enrollment ID: I20190111001530 |
| Provider Name | Mary Ann Collier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497279673 PECOS PAC ID: 9335485317 Enrollment ID: I20190111001851 |
| Provider Name | Clare E Hover |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528434990 PECOS PAC ID: 2163759119 Enrollment ID: I20190813003565 |
| Provider Name | Kevin Michael Waite |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295246890 PECOS PAC ID: 3072842103 Enrollment ID: I20190913002817 |
| Provider Name | Christine A Corcoran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336617935 PECOS PAC ID: 4688007941 Enrollment ID: I20191127002330 |
| Provider Name | Samantha A. Murphy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528574175 PECOS PAC ID: 6901236504 Enrollment ID: I20200422002875 |
| Provider Name | Elizabeth Sarnoski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154526929 PECOS PAC ID: 0749550325 Enrollment ID: I20200507003183 |
| Provider Name | Sunnie Leigh Lumpkin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184149643 PECOS PAC ID: 1456777549 Enrollment ID: I20200819004166 |
| Provider Name | William Thomas Bomkamp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528571999 PECOS PAC ID: 3678990306 Enrollment ID: I20200826002940 |
| Provider Name | Amy L Bischoff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437682184 PECOS PAC ID: 5698000941 Enrollment ID: I20200914002009 |
| Provider Name | Joshua J Oglehart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811338999 PECOS PAC ID: 0648408229 Enrollment ID: I20200924001550 |
| Provider Name | Zvisinei Dzepasi Mamutse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417269309 PECOS PAC ID: 9335551845 Enrollment ID: I20201207001552 |
| Provider Name | Jennifer Michelle Stimmell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134630296 PECOS PAC ID: 0840603072 Enrollment ID: I20210107002861 |
| Provider Name | Nathan Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154835247 PECOS PAC ID: 1254747512 Enrollment ID: I20210310003110 |
| Provider Name | Andrea Beth Filla |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538660758 PECOS PAC ID: 4981011921 Enrollment ID: I20210318001847 |
| Provider Name | Daniel Justice |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386997302 PECOS PAC ID: 5395147235 Enrollment ID: I20210714002152 |
| Provider Name | Althea Granger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629686043 PECOS PAC ID: 4587089412 Enrollment ID: I20210721001139 |
| Provider Name | Jason Barrett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023549102 PECOS PAC ID: 7618242579 Enrollment ID: I20210804001905 |
| Provider Name | John P Henning |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386176469 PECOS PAC ID: 7416226519 Enrollment ID: I20210813000414 |
| Provider Name | Mary Theresa Zupan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154833929 PECOS PAC ID: 4486043882 Enrollment ID: I20211104002716 |
| Provider Name | Mollie Elizabeth Ridings |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619478203 PECOS PAC ID: 0840683058 Enrollment ID: I20220211000649 |
| Provider Name | Jessica Marie Bettinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760133318 PECOS PAC ID: 1052708161 Enrollment ID: I20220420000281 |
| Provider Name | Laura Rae Staskey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578217204 PECOS PAC ID: 9638566169 Enrollment ID: I20220429002068 |
| Provider Name | Eric W Lesch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316470214 PECOS PAC ID: 2163772120 Enrollment ID: I20220517002330 |
| Provider Name | Rebekkah Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780188219 PECOS PAC ID: 3779834973 Enrollment ID: I20220620000171 |
| Provider Name | Erin Kelly Morehead |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922239227 PECOS PAC ID: 9739563909 Enrollment ID: I20220907002719 |
| Provider Name | Gerardo Cabrera Contreras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972239176 PECOS PAC ID: 8729456066 Enrollment ID: I20221117002858 |
| Provider Name | Heather L Kimmel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063024297 PECOS PAC ID: 2264801257 Enrollment ID: I20221214001319 |
| Provider Name | Rachel Gunn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912412263 PECOS PAC ID: 4486003761 Enrollment ID: I20231212001994 |
| Provider Name | Jennifer Lynn Parke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790203172 PECOS PAC ID: 4284077678 Enrollment ID: I20240213003439 |
| Provider Name | Jessica D. Denney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841653888 PECOS PAC ID: 0547604951 Enrollment ID: I20240213004234 |
| Provider Name | Christine Grant |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336369834 PECOS PAC ID: 8022452382 Enrollment ID: I20240215000448 |
| Provider Name | Katherine Rae Unterreiner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669724860 PECOS PAC ID: 3870937097 Enrollment ID: I20240215003060 |
| Provider Name | Kimberly R Fotta |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710461959 PECOS PAC ID: 2961846191 Enrollment ID: I20240215003432 |
| Provider Name | Matthew Thomas Mueller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902315542 PECOS PAC ID: 6709220957 Enrollment ID: I20240215004183 |
| Provider Name | Nichole Bisig |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851848089 PECOS PAC ID: 0345685467 Enrollment ID: I20240228004207 |
| Provider Name | Anna Murphy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568034262 PECOS PAC ID: 6608211735 Enrollment ID: I20240228004284 |
| Provider Name | Michelle A Robben |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326554759 PECOS PAC ID: 3476998436 Enrollment ID: I20240229001100 |
| Provider Name | Abigail Elizabeth Newport |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497263263 PECOS PAC ID: 2668817552 Enrollment ID: I20240301001154 |
| Provider Name | Lauren Schulz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982119533 PECOS PAC ID: 3375988280 Enrollment ID: I20240301002154 |
| Provider Name | Kara Perry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881086650 PECOS PAC ID: 1557707049 Enrollment ID: I20240306003583 |
Greater Cincinnati Behavioral Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 Madison Rd, Walnut Hills, OH 45206 Phone: 513-354-7000 Fax: 513-354-7115 | |
Greater Cincinnati Behavioral Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 Madison Rd, Walnut Hills, OH 45206 Phone: 513-354-5200 Fax: 513-354-7115 | |
Greater Cincinnati Behavioral Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 Madison Rd, Walnut Hills, OH 45206 Phone: 513-354-7000 Fax: 513-354-7115 |