Mind Body Spirit Center for Health

Primary specialty

PsychologistTaxonomy code 103T00000X

License

4139 Issued in OH

Legal business name

MIND BODY SPIRIT CENTER FOR HEALTH

Practice address

4701 Olentangy River Rd
Suite 200
Columbus, OH 43214-1950

Phone

(614) 457-9797

Fax

(614) 442-8208

NPI assigned

Jul 1, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Kathie C Shockley, PHD

Title

Psychologist

Phone

(614) 457-9797

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katherine Hunter Goree Davies, LISW

  • Clinical Social Worker
  • Columbus, OH
  • NPI 1598083669
  NPD (past)

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309478400000",
    "number": "1821385576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 OLENTANGY RIVER RD",
            "address_2": "SUITE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141950",
            "telephone_number": "614-457-9797",
            "fax_number": "614-442-8208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 OLENTANGY RIVER RD",
            "address_2": "SUITE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141950",
            "telephone_number": "614-457-9797",
            "fax_number": "614-442-8208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND BODY SPIRIT CENTER FOR HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-01",
        "last_updated": "2011-07-01",
        "status": "A",
        "authorized_official_last_name": "SHOCKLEY",
        "authorized_official_first_name": "KATHIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "614-457-9797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "OH",
            "license": "4139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0308803",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric Gongjue Min, MD
• Kyung H Min, DDS
• Yoongie E. Min, O.D.
• Zin Min Jr.
• Joseph Minarchek, MD
• Mind Over Matter Counseling
• Jesse W Mindel, M.D.
• Mindful Retreat
• Mindful Therapy Group, P.C.
• Mindful Therapy Services

• Psychologist in Columbus, OH
• Providers in Columbus, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; 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.