Shaker Clinic, LLC

Primary specialty

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

License

0519 Issued in OH

Legal business name

SHAKER CLINIC, LLC

Doing business as

Ohio Clinic for Psychiatry

Practice address

899 E Broad St
Columbus, OH 43205-1156

Phone

(614) 928-9400

Fax

(614) 928-9401

NPI assigned

Nov 8, 2006

Last updated

Sep 25, 2018By the provider in NPPES

Organization subpart

No

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 identifiers 2

Other names 1

• Ohio Clinic for Psychiatry Doing business as

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537833600000",
    "number": "1568532620",
    "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": "899 E BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432051156",
            "telephone_number": "614-928-9400",
            "fax_number": "614-928-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAKER CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2018-09-25",
        "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": "OH",
            "license": "0519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2428868",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OTHER",
            "identifier": "9342121",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ohio Clinic for Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ohio Clinic for Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shahida Shaikh, MD
• Ala K. Shaikhkhalil, MD
• Ammar Shaikhouni, MD
• Salma Shaikhouni, M.D.
• Shoaib Shakeel, D.O.
• Shaker Clinic, LLC (Ohio Clinic for Psychiatry)
• Karilyne Rae Shaker, RD, LD
• Taqwa Shakur
• Abeir Shalash
• Tasneem Shalash, LSW

• Mental Health Clinic/Center (Including Community Mental Health Center) in Columbus, OH
• Providers in Columbus, 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 Sep 25, 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.