Healthcare Provider Details

I. General information

NPI: 1003048190
Provider Name (Legal Business Name): KATHERINE MCHUGH WINNER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/22/2009
Last Update Date: 05/13/2025
Certification Date: 05/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

860 VALLEY ST.
DAYTON OH
45404
US

IV. Provider business mailing address

PO BOX 933421
CLEVELAND OH
44193-0039
US

V. Phone/Fax

Practice location:
  • Phone: 937-641-3060
  • Fax: 937-641-3285
Mailing address:
  • Phone: 937-641-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number35.120218
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: