Active NPI
Liberato Batin Basobas, M.D.
- Psychiatry Physician
- Columbus, OH
National Provider Identifier
1225243280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 35042703
- Practice address
- 1515 E Broad St
Columbus, OH 43205-1550 - Phone
- (614) 252-0711
- NPI assigned
- May 13, 2007
- Sex
- Male
- 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 | 35042703 | OH | Primary |
Addresses
Primary practice location
1515 E Broad St
Columbus, OH 43205-1550
Mailing address
5679 Sullivant Ave
Galloway, OH 43119-9201
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0383660 | 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 |
|---|---|---|---|
| 35042703 | OH | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1225243280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5679 SULLIVANT AVE",
"city": "GALLOWAY",
"state": "OH",
"postal_code": "431199201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 E BROAD ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432051550",
"telephone_number": "614-252-0711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASOBAS",
"first_name": "LIBERATO",
"middle_name": "BATIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-13",
"last_updated": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "35042703",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0383660",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.