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LEGACY PSYCHOLOGICAL SERVICES, LLC
NPI 1346267820
Psychologist - Clinical in Cincinnati, OH

Active since July 17, 2006
7105 HAMILTON AVE, CINCINNATI, OH 45231(513) 699-9240(513) 681-8959 Get Directions Write a Review

NPPES record last updated: September 17, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Legacy Psychological Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEGACY PSYCHOLOGICAL SERVICES, LLC (NPI 1346267820) is a healthcare organization registered as a clinical in Cincinnati, Ohio and active in the NPI registry since July 2006. The organization lists Jerome A Gabis, Owner, as its authorized official.

NPPES Registry Identity

NPI1346267820
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameLEGACY PSYCHOLOGICAL SERVICES, LLC
Location Address7105 HAMILTON AVECincinnati, OH 45231-5218
Mailing AddressPo Box 634927Cincinnati, OH 45263-0042 · (513) 891-2813 · Fax (513) 793-1032
Phone(513) 699-9240
Fax(513) 681-8959
Organization SubpartNo
Authorized OfficialJerome A GabisOwner · (513) 699-9240
Enumeration DateJuly 17, 2006
Last NPPES UpdateSeptember 17, 2009
✔ NPI 1346267820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychologistTaxonomy 103T00000X
Also ListedPsychologist · Adult Development & AgingTaxonomy 103TA0700X
Also ListedSocial WorkerTaxonomy 104100000X
7105 HAMILTON AVE, Cincinnati, OH 45231
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Other Identifiers 3

Medicaid2922476OH
Medicare PIN9357721OH
OtherDE6598Rr Medicare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Legacy Psychological Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Legacy Psychological Services, LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Carla Antenucci, PSYD
Clinical Psychologist
NPI 1689299539
7105 HAMILTON AVE
Cincinnati, OH 45231
(513) 522-0777
✔ PECOS✔ Accepts MedicareSame address
Victoria Becker, PHD
Clinical Psychologist
NPI 1437170867
7105 HAMILTON AVE
Cincinnati, OH 45231
(513) 522-0777
✔ PECOS✔ Accepts MedicareSame address
Jerome Gabis, PSYD
Clinical Psychologist
NPI 1992726327
7105 HAMILTON AVE
Cincinnati, OH 45231
(513) 522-0777
✔ PECOS✔ Accepts MedicareSame address
Susan Kissel, PSYD
Clinical Psychologist
NPI 1740002591
7105 HAMILTON AVE
Cincinnati, OH 45231
(513) 522-0777
✔ PECOS✔ Accepts MedicareSame address
Van Pham, PSYD
Clinical Psychologist
NPI 1184024218
2751 O'VARSITY WAY
Cincinnati, OH 45221
(513) 558-7700
✔ PECOS✔ Accepts Medicare6.6 mi
Amanpreet Randazzo, PSYD
Clinical Psychologist
NPI 1467696823
1009 BERKSHIRE RD
Southlake, TX 76092
(908) 720-3118
✔ PECOS✔ Accepts Medicare826 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Legacy Psychological Services, LLC's NPI number?

The NPI number for Legacy Psychological Services, LLC is 1346267820. It was assigned to this organization in the NPPES registry on July 17, 2006.

Where is Legacy Psychological Services, LLC located?

Legacy Psychological Services, LLC is located at 7105 Hamilton Ave, Cincinnati, OH 45231. The listed phone number is (513) 699-9240.

What is Legacy Psychological Services, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Legacy Psychological Services, LLC enrolled in Medicare?

Yes. Legacy Psychological Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Legacy Psychological Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Clinical Psychologist, reassign their Medicare billing to Legacy Psychological Services, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Legacy Psychological Services, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and Molina Healthcare list Legacy Psychological Services, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Legacy Psychological Services, LLC was last updated on September 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.