ALBERT CORBIN PSYCHOLOGICAL SERVICES, LLC – Clinical Psychologist, NPI 1073611166

ALBERT CORBIN PSYCHOLOGICAL SERVICES, LLC is a healthcare provider. based in Mason, Ohio. specializing in Clinical Psychologist. The organization holds a License No. 5748 (OH). The NPI Number for ALBERT CORBIN PSYCHOLOGICAL SERVICES, LLC is 1073611166

Main info

Organization
Name
ALBERT CORBIN PSYCHOLOGICAL SERVICES, LLC
NPI
1073611166
Phone
(513) 919-6722
Address
8587 S. MASON MONTGOMERY RD.
Authorized Official
VICKI BRAULT BUSINESS MANAGER
Enumeration Date
20 September 2006
Last Update Date
7 February 2011
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for ALBERT CORBIN PSYCHOLOGICAL SERVICES, LLC

  • 8587, South Mason Montgomery Road, Mason, Warren County, Ohio, 45040, United States

    SUITE 9

    MASON, OH 450409317

    Phone: (513) 919-6722

    Fax: (513) 282-0876

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-09-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-07-31 (313 days ago).

Enrollment records

1

Earliest due date

2025-07-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20060918000228OClinic/Group PracticeOH2025-07-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45040)

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Reviews

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Frequently asked questions

How is ALBERT CORBIN PSYCHOLOGICAL SERVICES, LLC identified in CMS data?
CMS-hosted NPPES data lists ALBERT CORBIN PSYCHOLOGICAL SERVICES, LLC with NPI 1073611166.
Can I rely on ALBERT CORBIN PSYCHOLOGICAL SERVICES, LLC being an active provider?
As of the registry snapshot, ALBERT CORBIN PSYCHOLOGICAL SERVICES, LLC is marked active.
What taxonomy line describes ALBERT CORBIN PSYCHOLOGICAL SERVICES, LLC?
For research purposes, treat ALBERT CORBIN PSYCHOLOGICAL SERVICES, LLC as Clinical Psychologist in this dataset. Clinical services aligned with this taxonomy classification.
Does ALBERT CORBIN PSYCHOLOGICAL SERVICES, LLC list a practice location?
Patients near Mason, Ohio may find ALBERT CORBIN PSYCHOLOGICAL SERVICES, LLC in results; validate coverage separately.
Is the information about ALBERT CORBIN PSYCHOLOGICAL SERVICES, LLC up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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