Individual provider Active NPI

Yakov Sherk, MD

  • Psychiatry Physician
  • Gahanna, OH
National Provider Identifier
1740449198
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35.127720 Issued in OH
Practice address
750 Cross Pointe Rd Ste D
Gahanna, OH 43230-6692
Phone
(614) 768-2700
Fax
(937) 998-1118
NPI assigned
Jun 2, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35.127720 OH Primary

Addresses

Primary practice location

750 Cross Pointe Rd Ste D
Gahanna, OH 43230-6692

Mailing address

750 Cross Pointe Rd Ste D
Gahanna, OH 43230-6692
Phone (614) 768-2700

Other practice location 1

474 N Yellow Springs St
Springfield, OH 45504-2463
Phone (937) 399-9500

Other identifiers 1

IdentifierTypeStateIssuer
0180303MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161012001233 OH Practitioner - Psychiatry 4486942141 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

210 N Main St
London, OH 43140-1115
Phone (740) 852-6256

750 Cross Pointe Rd
Suite D
Gahanna, OH 43230-6692
Phone (614) 768-2700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Services for Clark Co Inc Psychiatry CurrentSince Oct 3, 2016 Accepting new patients
A Child and Family Psychiatry LLC CurrentSince Jan 1, 2024 Accepting new patients
Mental Health Services for Clark Co Inc CurrentSince Oct 3, 2016 Accepting new patients

Locations

750 Cross Pointe Rd
Ste D
Gahanna, OH 43230
Phone (614) 407-6513

210 N Main St
London, OH 43140
Phone (740) 845-7343

474 N Yellow Springs St
Springfield, OH 45504
Phone (937) 399-9500

2501 E High St
Springfield, OH 45505
Phone (937) 328-8700

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1740449198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 CROSS POINTE RD STE D",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432306692",
            "telephone_number": "614-768-2700",
            "fax_number": "937-998-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 CROSS POINTE RD STE D",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432306692",
            "telephone_number": "614-768-2700",
            "fax_number": "937-998-1118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "474 N Yellow Springs St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OH",
            "postal_code": "455042463",
            "country_code": "US",
            "telephone_number": "937-399-9500",
            "fax_number": "937-342-4242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERK",
        "first_name": "YAKOV",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-02",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35.127720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0180303",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gahanna, OH

Sources for this page

Verify at the official NPI Registry.