Healthcare Provider Details

I. General information

NPI: 1083918874
Provider Name (Legal Business Name): DANIEL MEDEIROS ALMEIDA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/07/2011
Last Update Date: 06/07/2023
Certification Date: 06/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3001 HIGHLAND AVE STE A
CINCINNATI OH
45219-2315
US

IV. Provider business mailing address

3001 HIGHLAND AVE STE A
CINCINNATI OH
45219-2315
US

V. Phone/Fax

Practice location:
  • Phone: 513-961-8484
  • Fax: 513-991-2085
Mailing address:
  • Phone: 513-961-8484
  • Fax: 513-991-2085

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number35.124090
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number35.124090
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: