Healthcare Provider Details

I. General information

NPI: 1306097910
Provider Name (Legal Business Name): PSYCHOLOGICAL & BEHAVIORAL CONSULTANTS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2008
Last Update Date: 02/02/2023
Certification Date: 02/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8806 CINCINNATI - DAYTON RD.
WEST CHESTER OH
45069-3135
US

IV. Provider business mailing address

4240 HUNT RD.
CINTI OH
45242-6612
US

V. Phone/Fax

Practice location:
  • Phone: 513-891-0650
  • Fax: 513-891-2838
Mailing address:
  • Phone: 513-891-0650
  • Fax: 513-891-2838

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MR. DONALD SYKES JR.
Title or Position: MANAGING MEMBER
Credential:
Phone: 216-831-6611