Active NPI
Osu Neuro-Psychiatric Physician
- Psychiatry Physician
- Columbus, OH
National Provider Identifier
1689631780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- OSU NEURO-PSYCHIATRIC PHYSICIAN
- Practice address
- 1670 Upham Dr
Columbus, OH 43210-1250 - Phone
- (614) 293-9600
- Fax
- (614) 293-6059
- NPI assigned
- May 1, 2006
- Last updated
- Aug 25, 2015
- 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
- Anne Smith
- Title
- Director, Corporate Credentialing
- Phone
- (614) 293-7444
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
1670 Upham Dr
Columbus, OH 43210-1250
Mailing address
1670 Upham Dr
Columbus, OH 43210-1250
Phone (614) 293-3600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2102325 | Medicaid | OH |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Ohio State University Harding Hospital
- Psychiatric Hospital Unit
- Columbus, OH
- NPI 1790876183
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1440460800000",
"number": "1689631780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1670 UPHAM DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432101250",
"telephone_number": "614-293-3600",
"fax_number": "614-293-6059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1670 UPHAM DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432101250",
"telephone_number": "614-293-9600",
"fax_number": "614-293-6059"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OSU NEURO-PSYCHIATRIC PHYSICIAN",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-01",
"last_updated": "2015-08-25",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "ANNE",
"authorized_official_title_or_position": "DIRECTOR, CORPORATE CREDENTIALING",
"authorized_official_telephone_number": "614-293-7444"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2102325",
"state": "OH"
}
],
"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 Aug 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.