Organization Active NPI

Midwest Psychiatric Center, Inc.

  • Psychiatry Physician
  • West Chester, OH
National Provider Identifier
1649467119
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35083440 Issued in OH
Legal business name
MIDWEST PSYCHIATRIC CENTER, INC.
Practice address
7760 West Voa Park Dr
Suite G
West Chester, OH 45069-3371
Phone
(513) 217-5221
Fax
(513) 217-6221
NPI assigned
Sep 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Authorized official

Name
Rakeshkumar M Kaneria, M.D.NPI 1740347566
Title
President
Phone
(513) 217-5221

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 35083440 OH Primary

Addresses

Primary practice location

7760 West Voa Park Dr
Suite G
West Chester, OH 45069-3371

Mailing address

PO Box 635924
Cincinnati, OH 45263-5924
Phone (513) 421-3504

Other identifiers 5

IdentifierTypeStateIssuer
2804013MedicaidOH
293747OtherOHAMERIGROUP
603986997-002OtherOHMMOH
=========OtherOHCARESOURCE
603986997-00OtherOHBWC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080118000020 OH Part B Supplier - Clinic/Group Practice 0143301945 Receives reassigned benefits from 2 practitioners
Practice locations: West Chester, Oh, OH

National Provider Directory

National Provider Directory

Locations

1545 S Breiel Blvd
Middletown, OH 45044

8614 Shepherd Farm Dr
West Chester, OH 45069
Phone (513) 942-9500

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1649467119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635924",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452635924",
            "telephone_number": "513-421-3504",
            "fax_number": "513-231-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7760 WEST VOA PARK DR",
            "address_2": "SUITE G",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450693371",
            "telephone_number": "513-217-5221",
            "fax_number": "513-217-6221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST PSYCHIATRIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-10",
        "status": "A",
        "authorized_official_last_name": "KANERIA",
        "authorized_official_first_name": "RAKESHKUMAR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-217-5221",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35083440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2804013",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "293747",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMOH",
            "identifier": "603986997-002",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "=========",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC",
            "identifier": "603986997-00",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.