Organization Active NPI

Shaker Clinic, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Columbus, OH
National Provider Identifier
1619372679
Registry record updated Oct 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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

Updated by the provider on Oct 19, 2018

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.