Organization Active NPI

West Central Ohio Psychiatric Care, Inc.

  • Psychiatry Physician
  • Middletown, OH
National Provider Identifier
1275552697
Registry record updated May 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35-084629 Issued in OH
Legal business name
WEST CENTRAL OHIO PSYCHIATRIC CARE, INC.
Practice address
1060 Summitt Dr
Suite B
Middletown, OH 45042-3400
Phone
(513) 423-4546
Fax
(513) 423-4548
NPI assigned
Jul 18, 2006
Last updated
May 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2017

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

Authorized official

Name
Dr. Emad Alshami, M.D.NPI 1336168848
Title
President/Owner
Phone
(513) 423-4546

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 35-084629 OH Primary

Addresses

Primary practice location

1060 Summitt Dr
Suite B
Middletown, OH 45042-3400

Mailing address

1060 Summitt Dr
Suite B
Middletown, OH 45042-3400
Phone (513) 423-4546

Other identifiers 1

IdentifierTypeStateIssuer
9345441OtherOHMEDICARE ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040726001263 OH Part B Supplier - Clinic/Group Practice 1052381373 Receives reassigned benefits from 1 practitioner
Practice locations: Middletown, OH

National Provider Directory

National Provider Directory

Locations

770 W High St
Ste 455
Lima, OH 45801
Phone (419) 228-2626

1060B Summit Dr
Middletown, OH 45042
Phone (513) 423-4546

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494547200000",
    "number": "1275552697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 SUMMITT DR",
            "address_2": "SUITE B",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450423400",
            "telephone_number": "513-423-4546",
            "fax_number": "513-423-4548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 SUMMITT DR",
            "address_2": "SUITE B",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450423400",
            "telephone_number": "513-423-4546",
            "fax_number": "513-423-4548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST CENTRAL OHIO PSYCHIATRIC CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2017-05-12",
        "status": "A",
        "authorized_official_last_name": "ALSHAMI",
        "authorized_official_first_name": "EMAD",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "513-423-4546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35-084629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "9345441",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.