NPIMap

Organization Active NPI

Keystone Psychiatry, Inc.

  • Psychiatry Physician
  • Dublin, OH
National Provider Identifier
1720508146
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35.124474 Issued in OH
Legal business name
KEYSTONE PSYCHIATRY, INC.
Practice address
5920-E Wilcox PL
Dublin, OH 43016-6802
Phone
(210) 569-9496
NPI assigned
Jun 27, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ivana BalicNPI 1386824167
Title
President
Phone
(614) 569-9496

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: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 35.124474 OH Primary

Addresses

Primary practice location

5920-E Wilcox PL
Dublin, OH 43016-6802

Mailing address

PO Box 4036
Dublin, OH 43016
Phone (210) 569-9496

National Provider Directory

National Provider Directory

Locations

5920 Wilcox Pl
Dublin, OH 43016
Phone (210) 569-9496

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1720508146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4036",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "43016",
            "telephone_number": "210-569-9496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920-E WILCOX PL",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430166802",
            "telephone_number": "210-569-9496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE PSYCHIATRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-27",
        "last_updated": "2022-07-21",
        "certification_date": "2020-01-15",
        "status": "A",
        "authorized_official_last_name": "BALIC",
        "authorized_official_first_name": "IVANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-569-9496"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35.124474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.