Healthcare Provider Details

I. General information

NPI: 1811346612
Provider Name (Legal Business Name): JANET Z. BRINN, PSYD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2016
Last Update Date: 03/10/2025
Certification Date: 03/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9403 KENWOOD RD STE A204
BLUE ASH OH
45242-6829
US

IV. Provider business mailing address

9403 KENWOOD RD STE A204
BLUE ASH OH
45242-6829
US

V. Phone/Fax

Practice location:
  • Phone: 513-929-0935
  • Fax: 513-492-8734
Mailing address:
  • Phone: 513-929-0935
  • Fax: 513-492-8734

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: JANET Z BRINN
Title or Position: CLINICAL PSYCHOLOGIST
Credential: PSYD
Phone: 513-489-8600