Healthcare Provider Details

I. General information

NPI: 1144745977
Provider Name (Legal Business Name): TARA HOGAN SCARBOROUGH PSY. D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

COUNSELING AND PSYCHOLOGICAL SERVICES UNIVERSITY OF CINCINNATI, 225 CALHOUN STREET, SUITE 200
CINCINNATI OH
45219
US

IV. Provider business mailing address

225 CALHOUN STREET, SUITE 200, MAIL LOC 0034
CINCINNATI OH
45219
US

V. Phone/Fax

Practice location:
  • Phone: 513-556-0648
  • Fax: 513-556-2302
Mailing address:
  • Phone: 513-556-0648
  • Fax: 513-556-2302

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TH0100X
TaxonomyHealth Service Psychologist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number6315
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: