SHAKER CLINIC LLC NPI 1619372679

NPI Information

NPI: 1619372679
Provider Name: SHAKER CLINIC, LLC

Doing Business As: OHIO CLINIC FOR PSYCHIATRY

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
880 GREENLAWN AVE
COLUMBUS, OH
ZIP 43223
Phone: (614) 445-4600
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SHAKER CLINIC, LLC is a mental health (including community mental health center) clinic center in Columbus, OH. SHAKER CLINIC, LLC NPI is 1619372679. The provider is registered as an organization entity type.
The provider Is Doing Business As Ohio Clinic For Psychiatry.

The provider's business location address is:

880 GREENLAWN AVE
COLUMBUS, OH
ZIP 43223-616
Phone: (614) 445-4600

The provider's authorized official is Christopher L Howard .
The authorized official title is VP & TREASURERTreasurer and has the following contact phone number (615) 861-6000.

The enumeration date for this NPI number is 11/3/2014 and was last updated on 10/19/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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