SHAKER CLINIC, LLC (NPI# 1568532620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568532620 |
| Entity Type | Organization |
| Organization Name | SHAKER CLINIC, LLC |
| Other Organization Name | OHIO CLINIC FOR PSYCHIATRY |
| Practice Address |
899 E Broad St Columbus OH 43205-1156 |
| Mailing Address |
6100 Tower Cir Ste 1000 Franklin TN 37067-1509 |
| Practice Telephone | 6149289400 |
| Practice Fax Number | 6149289401 |
| Mailing Telephone | 6158616000 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2018-09-25 |
| Authorized Official Name | MR. CHRISTOPHER L HOWARD (VP & SECRETARY) |
| Authorized Official Telephone | 6158616000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
0519 | OH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2428868 | 05 | |
| OH | MEDICARE OTHER | 9342121 | 01 |
| Other Name | Type Code |
|---|---|
| Ohio Clinic for Psychiatry | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437563129 | Shaker Clinic, LLC | Clinic/Center | 2419 E High Ave, New Philadelphia, OH 44663-3329 | 2014-06-20 |
| 1619372679 | Shaker Clinic, LLC | Clinic/Center | 880 Greenlawn Ave, Columbus, OH 43223-2616 | 2014-11-03 |
| 1831209816 | Shaker Clinic, LLC | Clinic/Center | 20600 Chagrin Blvd, Suite 620, Shaker Heights, OH 44122-5327 | 2006-08-30 |
| Street Address |
899 E BROAD ST |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43205-1156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982672200 | Brandon Collins Strange | Pediatrics | 899 E Broad St, 3rd Floor, Columbus, OH 43205-1156 | 2006-03-11 |
| 1912516451 | Access Behavioral LLC | Clinic/Center | 899 E Broad St, Columbus, OH 43205-1156 | 2020-07-30 |
| 1093379919 | Restoring Our Own Through Transformation | Clinic/Center | 899 E Broad St, Columbus, OH 43205-1156 | 2019-04-25 |
| 1447740212 | Paul David Rogers | Counselor | 899 E Broad St, Columbus, OH 43205-1156 | 2018-05-16 |
| 1265921167 | Leianella D Darling | Case Manager/Care Coordinator | 899 E Broad St, Columbus, OH 43205-1156 | 2018-05-07 |
| 1639668544 | Kadida Thompson | Case Manager/Care Coordinator | 899 E Broad St, Columbus, OH 43205-1156 | 2018-05-07 |
| 1356847305 | Laurie Renee Ferebee | Counselor | 899 E Broad St, Columbus, OH 43205-1156 | 2018-03-30 |
| 1063917185 | Karee Stemm | Social Worker | 899 E Broad St, Columbus, OH 43205-1156 | 2018-03-29 |
| 1568967040 | Dana Lynn Caldwell | Counselor | 899 E Broad St, Columbus, OH 43205-1156 | 2018-03-27 |
| 1265937817 | Celeste D Jones | Social Worker | 899 E Broad St, Columbus, OH 43205-1156 | 2018-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909404 | Celine Richard | Otolaryngology | Pediatric Ent Department, Nationwide Children's Hospita, 700 Children's Dr., Columbus, OH 43205 | 2020-07-09 |
| 1295351872 | Christina Cotterman | Nurse Practitioner | 700 Children Dr, Columbus, OH 43205 | 2020-06-19 |
| 1740847946 | John M Williamson | Nurse Practitioner | 1441 Phale D. Hale, Columbus, OH 43205 | 2019-05-22 |
| 1811486699 | Kathy L Carter | Case Manager/Care Coordinator | 899 E. Broad Street Ste 150, Columbus, OH 43205 | 2018-05-07 |
| 1174012512 | Erin Crist | Genetic Counselor, MS | 700 Childrens Dr # T4d, Columbus, OH 43205 | 2018-05-01 |
| 1417451782 | Kimberly Banner | Case Manager/Care Coordinator | 1490 E Main Street, Columbus, OH 43205 | 2018-03-21 |
| 1336641539 | Nitisha Y Burkhead | Social Worker | 700 Chidren's Dr., Columbus, OH 43205 | 2018-03-02 |
| 1568981496 | Chris Allen York I | Counselor | 3035 W. Broad Steert, Arizona Counseling & Consultation, Columbus, OH 43205 | 2017-09-12 |
| 1144774407 | Tyler Rolfes | Nurse Practitioner | 444 Butterfly Gardens Dr., Columbus, OH 43205 | 2016-08-04 |
| 1902257876 | George Michael Ziegler | Pediatrics | 611 E Livingston Ave, Section of Neonatology, Columbus, OH 43205 | 2016-06-22 |
| Find all providers in zip 43205 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1497886337 | Quinco Consulting Center Inc | Clinic/Center | 2999 9th St, Columbus, IN 47201-2605 | 2007-03-09 |
| 1265564918 | Quinco Consulting Center Inc | Clinic/Center | 730 Schnier St, Columbus, IN 47201-6658 | 2007-03-09 |
| 1891826731 | Quinco Consulting Center Inc | Clinic/Center | 1714 Cottage Ave, Columbus, IN 47201-5330 | 2007-03-09 |
| Find all providers in COLUMBUS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.