JAMES SHACKSON MD NPI 1962565408

NPI Information

  • NPI: 1962565408
  • Provider Name: JAMES SHACKSON MD
  • Classification: Psychiatry & Neurology - 2084P0805X
  • Specialization: Geriatric Psychiatry
  • Entity Type: Organization
  • Address: 9525 KENWOOD RD
    SUITE 16-382
    CINCINNATI, OH
    ZIP 45242
  • Phone: (513) 721-3504

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NPI Details

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
12084P0805XPsychiatry & NeurologyGeriatric Psychiatry35062208OHIOYes

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
1P00381869OTHEROHIOMEDICARE RAILROAD
2F60593MEDICARE UPINOHIO
30743335MEDICARE PINOHIO
49365561MEDICARE PINOHIO
5255830MEDICARE PININDIANA
6200084400BMEDICAIDINDIANA
7934725MEDICAIDOHIO

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: 11/21/2025

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