JAMES SHACKSON MD NPI 1962565408

NPI Information

NPI: 1962565408
Provider Name: JAMES SHACKSON MD
Classification: Psychiatry & Neurology - 2084P0805X
Entity Type: Organization

Specialization: Geriatric Psychiatry

Address:
9525 KENWOOD RD
SUITE 16-382
CINCINNATI, OH
ZIP 45242
Phone: (513) 721-3504
Get Directions

JAMES SHACKSON MD is a geriatric psychiatry psychiatry neurology in Cincinnati, OH. The provider is geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. JAMES SHACKSON MD NPI is 1962565408. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9525 KENWOOD RD
SUITE 16-382
CINCINNATI, OH
ZIP 45242-176
Phone: (513) 721-3504
Fax: (513) 345-6281

The provider's authorized official is James Shackson .
The authorized official title is President and has the following contact phone number (513) 721-3504.

The enumeration date for this NPI number is 12/18/2006 and was last updated on 6/10/2008.

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	2084P0805X	Psychiatry & Neurology	Geriatric Psychiatry	35062208	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P00381869	OTHER	OHIO	MEDICARE RAILROAD
2	F60593	MEDICARE UPIN	OHIO
3	0743335	MEDICARE PIN	OHIO
4	9365561	MEDICARE PIN	OHIO
5	255830	MEDICARE PIN	INDIANA
6	200084400B	MEDICAID	INDIANA
7	934725	MEDICAID	OHIO

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: 4/28/2024

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