Healthcare Provider Details

I. General information

NPI: 1477613982
Provider Name (Legal Business Name): CHERYL M BEACH PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8000 5 MILE RD STE 215
CINCINNATI OH
45230-2183
US

IV. Provider business mailing address

3001 HIGHLAND AVE SUITE A
CINCINNATI OH
45219-2315
US

V. Phone/Fax

Practice location:
  • Phone: 513-740-8814
  • Fax: 513-961-1530
Mailing address:
  • Phone: 513-961-8484
  • Fax: 513-961-1530

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number4669
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: