Individual provider Active NPI

Lee Shackelford Szykowny, MD

  • Addiction Psychiatry Physician
  • Columbus, OH
National Provider Identifier
1548366503
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
License
70014 Issued in OH
Practice address
5151 Reed Rd
BLDG C-128 Central Ohio Behavioral Medicine Inc
Columbus, OH 43220-2553
Phone
(614) 538-8300
Fax
(614) 538-1656
NPI assigned
Sep 16, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry Physician 2084P0802X 70014 OH Primary

Addresses

Primary practice location

5151 Reed Rd
BLDG C-128 Central Ohio Behavioral Medicine Inc
Columbus, OH 43220-2553

Mailing address

250 S Parkview Ave
Bexley, OH 43209-1650
Phone (614) 252-7111

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

LicenseStateTypeSpecialty
70014OHMDAddiction Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Behavioral Medicine Inc PastSince Aug 1, 1997 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548366503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 S PARKVIEW AVE",
            "city": "BEXLEY",
            "state": "OH",
            "postal_code": "432091650",
            "telephone_number": "614-252-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 REED RD",
            "address_2": "BLDG C-128 CENTRAL OHIO BEHAVIORAL MEDICINE INC",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202553",
            "telephone_number": "614-538-8300",
            "fax_number": "614-538-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZYKOWNY",
        "first_name": "LEE",
        "middle_name": "SHACKELFORD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "OH",
            "license": "70014",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 8, 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.

Verify at the official NPI Registry.