Active NPI
Kathy E Shy, MD
- Psychiatry Physician
- Chillicothe, OH
National Provider Identifier
1063451870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 35052006
- Practice address
- 4449 State Route 159
Chillicothe, OH 45601-6179 - Phone
- (740) 772-7892
- Fax
- (740) 773-1264
- NPI assigned
- Jun 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 35052006 | OH | Primary |
Addresses
Primary practice location
4449 State Route 159
Chillicothe, OH 45601-6179
Mailing address
PO Box 6179
4449 State Route 159
Chillicothe, OH 45601-6179
Phone (740) 772-7892
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000254658 | Other | OH | ANTHEM |
| 246799000 | Other | OH | MAGELLAN |
| 0610806 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35052006 | OH | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scioto Paint Valley Mental Health Center | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/spvmhc/r4/
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Chillicothe, OH
- NPI 1255308136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324252800000",
"number": "1063451870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6179",
"address_2": "4449 STATE ROUTE 159",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "456016179",
"telephone_number": "740-772-7892",
"fax_number": "740-773-1264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4449 STATE ROUTE 159",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "456016179",
"telephone_number": "740-772-7892",
"fax_number": "740-773-1264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHY",
"first_name": "KATHY",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-06",
"last_updated": "2011-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "35052006",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000254658",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "246799000",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0610806",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chillicothe, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.