Shaker Clinic, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SHAKER CLINIC, LLC

Practice address

2419 E High Ave
New Philadelphia, OH 44663-3329

Phone

(877) 635-7855

NPI assigned

Jun 20, 2014

Organization subpart

Yes

Parent organization

SHAKER CLINIC, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Christopher L Howard

Title

VP & Secretary

Phone

(615) 861-6000

Specialties & licenses 1

Addresses

Other names 1

• The Wellness Center for Behavioral Health Doing business as

Part of

Healthcare MGNT Investment

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541376000000",
    "number": "1437563129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 TOWER CIR STE 1000",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370671509",
            "telephone_number": "615-861-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2419 E HIGH AVE",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446633329",
            "telephone_number": "877-635-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAKER CLINIC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHAKER CLINIC, LLC",
        "enumeration_date": "2014-06-20",
        "last_updated": "2018-11-05",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VP & SECRETARY",
        "authorized_official_telephone_number": "615-861-6000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Wellness Center for Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Wellness Center for Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Schoenbrunn Divine Opco LLC
• Jennifer T Schrock
• Barbara H Schwartz, LPCC
• Jazimine Shanntel Setvin Stull
• Hasmukh H Shah, MD
• Amber Shear
• Courtney Shuss
• Anna Silva
• Rebekah Ann Simpson, CDCA
• Victoria Simpson

• Mental Health Clinic/Center (Including Community Mental Health Center) in New Philadelphia, OH
• Providers in New Philadelphia, OH by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.