Healthcare Provider Details
I. General information
NPI: 1528593290
Provider Name (Legal Business Name): CARINA E. BEHRENS, M.D., LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/01/2017
Last Update Date: 04/20/2025
Certification Date: 04/20/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3001 HIGHLAND AVE STE B
CINCINNATI OH
45219-2315
US
IV. Provider business mailing address
3001 HIGHLAND AVE STE B
CINCINNATI OH
45219-2315
US
V. Phone/Fax
- Phone: 513-961-7799
- Fax: 252-370-1617
- Phone: 513-961-7799
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0804X |
| Taxonomy | Child & Adolescent Psychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CARINA
ELIZABETH
BEHRENS
Title or Position: MEMBER
Credential: MD
Phone: 513-961-7799