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

Zachary Pettibone

Individual provider Psychiatry Physician · NPI 1962821447

Zachary Pettibone is a Psychiatry in Mason, Ohio. Graduated from University of Cincinnati College of Medicine in 2014, 12 years ago. Practices with Lindner Center of Hope Professional Associates, a 72-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
12
Trained at
University of Cincinnati College of Medicine
Licensed in
OH
In the registry since
2014
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Practice location Address checks out

4075 Old Western Row Rd
Mason, OH 45040
Phone: (513) 536-4673
Fax: (513) 536-0159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 35.132457 (OH)

Record details

NPI number1962821447
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 10, 2014
Last updated in NPPESFebruary 13, 2024
Certification dateFebruary 13, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolUNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Lindner Center Of Hope Professional Associates — 72 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mason