Healthcare Provider Details

I. General information

NPI: 1528983764
Provider Name (Legal Business Name): JONATHAN REISINGER MSN, APRN, PMHNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5642 HAMILTON AVE
CINCINNATI OH
45224-3114
US

IV. Provider business mailing address

84 S GRAND AVE APT 2
FORT THOMAS KY
41075-1737
US

V. Phone/Fax

Practice location:
  • Phone: 513-636-0800
  • Fax:
Mailing address:
  • Phone: 740-542-1733
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: