Active NPI
Shaker Clinic, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Columbus, OH
National Provider Identifier
1619372679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- SHAKER CLINIC, LLC
- Doing business as
- Ohio Clinic for Psychiatry
- Practice address
- 880 Greenlawn Ave
Columbus, OH 43223-2616 - Phone
- (614) 445-4600
- NPI assigned
- Nov 3, 2014
- Organization subpart
- No
NPPES NPI Registry
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 & Treasurer
- Phone
- (615) 861-6000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
880 Greenlawn Ave
Columbus, OH 43223-2616
Mailing address
6100 Tower Cir Ste 1000
Franklin, TN 37067-1509
Phone (615) 861-6000
Other names 1
- Ohio Clinic for Psychiatry
National Provider Directory
National Provider DirectoryLocations
8251 Mayfield Rd
Ste 200
Chesterland, OH 44026
Phone (440) 490-7226
1430 S High St
Fl 2
Columbus, OH 43207
Phone (614) 449-9664
2419 E High Ave
New Philadelphia, OH 44663
Phone (216) 751-4762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414972800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1539907200000",
"number": "1619372679",
"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": "880 GREENLAWN AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432232616",
"telephone_number": "614-445-4600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHAKER CLINIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-03",
"last_updated": "2018-10-19",
"status": "A",
"authorized_official_last_name": "HOWARD",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "VP & TREASURER",
"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": "Ohio Clinic for Psychiatry",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Ohio Clinic for Psychiatry",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Oct 19, 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.