Organization Active NPI

A Child and Family Psychiatry LLC

  • Child & Adolescent Psychiatry Physician
  • Gahanna, OH
National Provider Identifier
1760930853
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
A CHILD AND FAMILY PSYCHIATRY LLC
Practice address
750 Cross Pointe Rd Ste D
Gahanna, OH 43230-6692
Phone
(614) 407-6513
Fax
(937) 998-1118
NPI assigned
Sep 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Authorized official

Name
Candice West
Title
Office Manager
Phone
(614) 407-6513

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X 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) 407-6513

Other names 1

  • A Child and Family Psychiatry LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240314000077 OH Part B Supplier - Clinic/Group Practice 9638515513 Receives reassigned benefits from 1 practitioner
Practice locations: Gahanna, OH

National Provider Directory

National Provider Directory

Locations

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

800 Cross Pointe Rd
Ste N
Gahanna, OH 43230

5040 Forest Dr
Ste 210
New Albany, OH 43054
Phone (413) 218-1105

Practitioners & affiliated clinicians

Practitioners 8

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": "1473984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617235200000",
    "number": "1760930853",
    "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": "614-407-6513",
            "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": "614-407-6513",
            "fax_number": "937-998-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A CHILD AND FAMILY PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-16",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "614-407-6513"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Child and Family Psychiatry LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "A Child and Family Psychiatry LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gahanna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.