Basic Information
Provider Information
NPI: 1144830068
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HILBRANDS
FirstName: GRETA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: PSY.D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 700 CHILDRENS DR
Address2:  
City: COLUMBUS
State: OH
PostalCode: 432052639
CountryCode: US
TelephoneNumber: 6147222000
FaxNumber:  
Practice Location
Address1: 187 W SCHROCK RD
Address2:  
City: WESTERVILLE
State: OH
PostalCode: 430812890
CountryCode: US
TelephoneNumber: 6143557500
FaxNumber: 6143557533
Other Information
ProviderEnumerationDate: 08/05/2020
LastUpdateDate: 09/07/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/07/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103T00000X  N Behavioral Health & Social Service ProvidersPsychologist 
101YM0800X  N Behavioral Health & Social Service ProvidersCounselorMental Health
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
103TC0700XP.08342OHY Behavioral Health & Social Service ProvidersPsychologistClinical

No ID Information.


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