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Deactivated NPI 1316080831 Deactivated / Inactive NPI Female Practitioner

Dr. Phyllis Carolyn Shepard-Spiro , PhD

Specialist • Cincinnati, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Phyllis Shepard-Spiro has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 14, 2007
NPI Deactivation Date January 31, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Phyllis Shepard-Spiro, PhD was a registered Specialist practicing in Cincinnati, OH. Throughout an active medical career spanning 15 years, Dr. Shepard-Spiro provided care at the practice location at 10921 REED HARTMAN HWY until profile deactivation on 2022-01-31.

Practice Location & Contact Primary Location

Practice Address

10921 Reed Hartman Hwy
Suite 212

Cincinnati, OH 452422830

Telephone 5137941667
Associated Practice Facility / Clinic
🏢 The Counseling Source, Inc. Facility NPI 1700841244

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Cincinnati, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 43.2 Yrs
State Avg: 37.3 Yrs
Regional Practice Density
230 Specialists

Practicing in Cincinnati, OH (1444 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License OH I-0001289

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Debra Freehauf Mcfadden , MA, LPCC

Counselor - Addiction (Substance Use Disorder)

NPI 1154450658

Master of Arts, Licensed Professional Clinical Counselor

James Heisel , LISW LICDC

Social Worker - Clinical

NPI 1659315745

LISWLICDC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 31, 2022

Record deactivated on January 31, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 10921 REED HARTMAN HWY, SUITE 212, CINCINNATI, OH 452422830 (Tel: 5137941667)

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Updated Business Mailing Address July 08, 2007

Registered at 29 RIVERVIEW AVE, FORT THOMAS, KY 410752417 (Tel: 8597814522)

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Provider Name / Credentials Updated July 08, 2007

Recorded as PHYLLIS SHEPARD-SPIRO, PH.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #I-0001289 in OH)

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Initial NPI Registration & Enumeration February 14, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316080831
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 14, 2007
Last Update: July 08, 2007
Deactivation Date: January 31, 2022

Mailing Address

29 Riverview Ave

Fort Thomas, KY 410752417

Phone: 8597814522

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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