Healthcare Provider Details

I. General information

NPI: 1528001138
Provider Name (Legal Business Name): PATRICIA B EILER-SIMS PSY.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2006
Last Update Date: 01/10/2023
Certification Date: 11/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 BURNET AVE ML 4002
CINCINNATI OH
45229-3039
US

IV. Provider business mailing address

3333 BURNET AVE ML 5021
CINCINNATI OH
45229-3039
US

V. Phone/Fax

Practice location:
  • Phone: 513-636-4633
  • Fax: 513-636-7743
Mailing address:
  • Phone: 513-636-4225
  • Fax: 513-636-2511

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number6057
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number6057
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: