Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ty Brumback, PHD

Individual provider Psychologist · NPI 1316566474

Dr. Ty Brumback, PHD is a Psychologist in Cincinnati, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2020
Specialties on file
5
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

3380 Erie Ave Ste 202
Cincinnati, OH 45208-1626
Phone: (513) 400-5905
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence P.08007 (OH)
Psychologist Taxonomy 103T00000X · Licence P.08007 (OH)
Addiction (Substance Use Disorder) Psychologist Taxonomy 103TA0400X · Licence P.08007 (OH)
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X · Licence P.08007 (OH)
Health Service Psychologist Taxonomy 103TH0100X · Licence P.08007 (OH)

Record details

NPI number1316566474
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedApril 9, 2020
Last updated in NPPESApril 9, 2020
Certification dateApril 9, 2020
Mailing address7060 Jeannie Ave, Cincinnati, OH 45230-4031

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