Active NPI
Inna S Fatkins
- Clinical Psychologist
- Columbus, OH
National Provider Identifier
1477209146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- P.08265
- Practice address
- 2 Easton Oval Ste 450
Columbus, OH 43219-6035 - Phone
- (614) 475-9500
- Fax
- (614) 475-9821
- NPI assigned
- Feb 22, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | P.08265 | OH | Primary |
Addresses
Primary practice location
2 Easton Oval Ste 450
Columbus, OH 43219-6035
Mailing address
2 Easton Oval Ste 450
Columbus, OH 43219-6035
Phone (614) 475-9500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P.08265 | Other | OH | OHIO BOARD OF PSYCHOLOGY |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645488000000",
"number": "1477209146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 EASTON OVAL STE 450",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432196035",
"telephone_number": "614-475-9500",
"fax_number": "614-475-9821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 EASTON OVAL STE 450",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432196035",
"telephone_number": "614-475-9500",
"fax_number": "614-475-9821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FATKINS",
"first_name": "INNA",
"middle_name": "S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-22",
"last_updated": "2022-02-22",
"certification_date": "2022-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "P.08265",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO BOARD OF PSYCHOLOGY",
"identifier": "P.08265",
"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 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.