Individual provider Active NPI

Jeffrey Marshall Bishop, MD

  • Psychiatry Physician
  • Dayton, OH
National Provider Identifier
1811974751
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35080371B Issued in OH
Practice address
1320 Woodmand Dr
Suite 200
Dayton, OH 45432
Phone
(937) 223-1781
Fax
(937) 853-0096
NPI assigned
Dec 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 35080371B OH Primary

Addresses

Primary practice location

1320 Woodmand Dr
Suite 200
Dayton, OH 45432

Mailing address

1320 Woodmand Dr
Suite 200
Dayton, OH 45432
Phone (937) 223-1781

Other identifiers 1

IdentifierTypeStateIssuer
2272231MedicaidOH

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
I20040818001172 OH Practitioner - Psychiatry 5799758538 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35080371BOHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dayton Behavioral Care, LLC Psychiatry CurrentSince Oct 6, 2009 Accepting new patients
Mahajan Therapeutics, LLC CurrentSince Aug 31, 2016 Accepting new patients
Advanced Therapeutic Services Inc Past Accepting new patients
Forensic and Mental Health Services, Inc. Past Accepting new patients
Amita R. Patel, M.D., Inc. PastSince Jul 1, 1996 Accepting new patients
Forensic and Mental Health Services, Inc. Past Accepting new patients
Samaritan Behavioral Health, Inc. Past Accepting new patients

Locations

6300 N Main St
Dayton, OH 45415
Phone (937) 275-1500

2621 Dryden Rd
Ste 100
Moraine, OH 45439
Phone (937) 281-0900

Organizations & group practices 7

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": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1811974751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 WOODMAND DR",
            "address_2": "SUITE 200",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45432",
            "telephone_number": "937-223-1781",
            "fax_number": "937-853-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 WOODMAND DR",
            "address_2": "SUITE 200",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45432",
            "telephone_number": "937-223-1781",
            "fax_number": "937-853-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "JEFFREY",
        "middle_name": "MARSHALL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35080371B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2272231",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.