MEDICARE: INTEGRATIVE WELLNESS AND PSYCHIATRY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1841153038
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRATIVE WELLNESS AND PSYCHIATRY

Provider Business Mailing Address
First Line	:	8041 HOSBROOK RD STE 330
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45236-2909
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8041 HOSBROOK RD STE 330
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45236-2909
Country	:	US
Telephone Number	:	917-517-4268
Fax Number	:

Authorized Official
Title or Position	:	DO
Name	:	JOHN ORRIS
Credential	:
Telephone Number	:	917-517-4268

Provider Enumeration Date	:	12/04/2025
Last Update Date	:	12/04/2025

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Directions to “INTEGRATIVE WELLNESS AND PSYCHIATRY ” Practice Location

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