Active NPI
Maria M Stamatakos, MD
- Child & Adolescent Psychiatry Physician
- Columbus, OH
National Provider Identifier
1306054861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 35.086318
- Practice address
- 700 Childrens Dr
Columbus, OH 43205-2664 - Phone
- (614) 355-8080
- NPI assigned
- May 18, 2007
- 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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 35.086318 | OH | Primary |
Addresses
Primary practice location
700 Childrens Dr
Columbus, OH 43205-2664
Mailing address
700 Childrens Dr
Columbus, OH 43205-2639
Phone (614) 722-2000
Other practice location 1
444 Butterfly Gardens Dr
Columbus, OH 43215-3427
Phone (614) 938-0167
Other practice location 2
255 E Main St
Columbus, OH 43215-5222
Phone (614) 355-8055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0055982 | 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 |
|---|---|---|---|
| 35.086318 | OH | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Nationwide Children's Hospital | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Dental Clinic/Center
- Columbus, OH
- NPI 1407013964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706745600000",
"number": "1306054861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 CHILDRENS DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432052639",
"telephone_number": "614-722-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 CHILDRENS DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432052664",
"telephone_number": "614-355-8080"
}
],
"practiceLocations": [
{
"address_1": "444 Butterfly Gardens Dr",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432153427",
"country_code": "US",
"telephone_number": "614-938-0167",
"fax_number": "614-938-0170",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "255 E Main St",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432155222",
"country_code": "US",
"telephone_number": "614-355-8055",
"fax_number": "614-355-3985",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STAMATAKOS",
"first_name": "MARIA",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-18",
"last_updated": "2024-02-01",
"certification_date": "2024-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "OH",
"license": "35.086318",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0055982",
"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 Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.