MEDICARE: DR. BRIES ERIK DEERROSE PSYD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	PSY.0004248	CO
2	101Y00000X	Counselor	PSY.0004248	CO
3	101YM0800X	Mental Health Counselor
4	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1841517919
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIES ERIK DEERROSE PSYD

Provider Business Mailing Address
First Line	:	11500 NORTHLAKE DR
Second Line	:	SUITE 230
City	:	CINCINNATI
State	:	OH
Zip	:	45249-1650
Country	:	US
Telephone Number	:	513-247-2814
Fax Number	:

Provider Business Practice Location Address
First Line	:	11500 NORTHLAKE DR
Second Line	:	SUITE 230
City	:	CINCINNATI
State	:	OH
Zip	:	45249-1650
Country	:	US
Telephone Number	:	513-247-2814
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2010
Last Update Date	:	10/15/2015

Similar Medicare Providers

1215970272 — DR. CHRISTIAN LANCE DAVIS PHARM.D., MHA
Practice Location Address:

11500 NORTHLAKE DR , SUITE 200
CINCINNATI, OH
45249-1650

Practice Phone: 513-247-4298
Practice Fax: 513-247-4620

1760408306 — DR. DEE RENE RAMSEL PHD
Practice Location Address:

11500 NORTHLAKE DR , SUITE 230
CINCINNATI, OH
45249-1650

Practice Phone: 414-384-2000
Practice Fax: 414-382-5375

1548379134 — MS. NANCY P CAMPBELL MSW
Practice Location Address:

11500 NORTHLAKE DR , SUITE 200
CINCINNATI, OH
45249-1650

Practice Phone: 513-247-4634
Practice Fax: 513-247-4620

1568505105 — VITAS HEALTHCARE CORPORATION OF OHIO
Practice Location Address:

11500 NORTHLAKE DR , SUITE 400
CINCINNATI, OH
45249-1650

Practice Phone: 513-742-6310
Practice Fax: 513-742-6318

1073706503 — DR. DESIREE HAYNES PSYD, MBA
Practice Location Address:

11500 NORTHLAKE DR , SUITE 230
CINCINNATI, OH
45249-1650

Practice Phone: 513-247-4689
Practice Fax:

1487809539 — MARY ELIZABETH DAVIDSON RN
Practice Location Address:

11500 NORTHLAKE DR , SUITE 200
CINCINNATI, OH
45249-1650

Practice Phone: 513-247-4296
Practice Fax:

Directions to “ DR. BRIES ERIK DEERROSE PSYD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.