NPIMap

Organization Active NPI

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  • Psychiatry Physician
  • Dublin, OH
National Provider Identifier
1043083694
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
DONE
Practice address
545 Metro PL S Ste 100
Dublin, OH 43017-5353
Phone
(888) 291-5143
NPI assigned
Nov 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Credentialing Department
Title
Office Manager/Business Staff
Phone
(888) 291-5143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

545 Metro PL S Ste 100
Dublin, OH 43017-5353

Mailing address

545 Metro PL S Ste 100
Dublin, OH 43017-5353

Other identifiers 1

IdentifierTypeStateIssuer
35C-000658OtherOHMD

National Provider Directory

National Provider Directory
Tax ID family
Done2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1043083694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 METRO PL S STE 100",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430175353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 METRO PL S STE 100",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430175353",
            "telephone_number": "888-291-5143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "DEPARTMENT",
        "authorized_official_first_name": "CREDENTIALING",
        "authorized_official_title_or_position": "OFFICE MANAGER/BUSINESS STAFF",
        "authorized_official_telephone_number": "888-291-5143"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD",
            "identifier": "35C-000658",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.