Active NPI
Richard Henry Clary, MD
- Psychiatry Physician
- Columbus, OH
National Provider Identifier
1386643419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 35032519
- Practice address
- 717 West Town Street
Columbus, OH 43222-1514 - Phone
- (614) 228-3874
- Fax
- (614) 228-3883
- NPI assigned
- Jul 20, 2005
- 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 | 35032519 | OH | Primary |
Addresses
Primary practice location
717 West Town Street
Columbus, OH 43222-1514
Mailing address
717 West Town Street
Columbus, OH 43222-1514
Phone (614) 228-3874
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0187355 | 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 |
|---|---|---|---|
| 35032519 | OH | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184284800000",
"number": "1386643419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 WEST TOWN STREET",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432221514",
"telephone_number": "614-228-3874",
"fax_number": "614-228-3883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "717 WEST TOWN STREET",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432221514",
"telephone_number": "614-228-3874",
"fax_number": "614-228-3883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARY",
"first_name": "RICHARD",
"middle_name": "HENRY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-20",
"last_updated": "2007-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "35032519",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0187355",
"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 Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.