Organization Active NPI

Ohio Executive Psychiatry, LLC

  • Psychiatry Physician
  • Columbus, OH
National Provider Identifier
1861327082
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
OHIO EXECUTIVE PSYCHIATRY, LLC
Practice address
1241 McKinley Ave
Columbus, OH 43222-1114
Phone
(614) 673-3558
NPI assigned
Jun 17, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Authorized official

Name
Krishna Dev Vellanki, DONPI 1376283424
Title
Manager
Phone
(614) 673-3558

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1241 McKinley Ave
Columbus, OH 43222-1114

Mailing address

1241 McKinley Ave
Columbus, OH 43222-1114
Phone (614) 673-3558

Other names 1

  • Ohio Sports Psychiatry Doing business as

National Provider Directory

National Provider Directory

Locations

1241 McKinley Ave
Columbus, OH 43222

Practitioners & affiliated clinicians

Practitioners 1

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": "1781654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1861327082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 MCKINLEY AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221114",
            "telephone_number": "614-673-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 MCKINLEY AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221114",
            "telephone_number": "614-673-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO EXECUTIVE PSYCHIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-17",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "VELLANKI",
        "authorized_official_first_name": "KRISHNA",
        "authorized_official_middle_name": "DEV",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "614-673-3558",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ohio Sports Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.