Active NPI
Charles W Collins, MD
- Psychiatry Physician
- Cincinnati, OH
National Provider Identifier
1790886992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 35056481
- Practice address
- 260 Stetson Avenue
Cincinnati, OH 45219 - Phone
- (513) 558-7700
- Fax
- (513) 558-0877
- NPI assigned
- Sep 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 35056481 | OH | Primary |
Addresses
Primary practice location
260 Stetson Avenue
Cincinnati, OH 45219
Mailing address
2830 Victory Parkway
Cincinnati, OH 45206-1785
Phone (513) 245-3617
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0019176 | Other | OH | MEDICARE RAILROAD |
| 0696804 | Medicaid | OH | |
| 64937402 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychiatric Professional Services | Psychiatry | Past | Accepting new patients |
| University Psychiatric Associates, LLC | Psychiatry | Past | Accepting new patients |
| Children'S Hospital Medical Center | Past | Accepting new patients |
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.
-
- Psychiatry Physician
- Cincinnati, OH
- NPI 1447343306
-
- Psychiatry Physician
- Cincinnati, OH
- NPI 1427238179
-
- Pediatrics Physician
- Cincinnati, OH
- NPI 1609915784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347408000000",
"number": "1790886992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2830 VICTORY PARKWAY",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452061785",
"telephone_number": "513-245-3617",
"fax_number": "513-475-7259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 STETSON AVENUE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45219",
"telephone_number": "513-558-7700",
"fax_number": "513-558-0877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "CHARLES",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2012-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "35056481",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "0019176",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0696804",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64937402",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.