SHAKER CLINIC, LLC


Address: 880 Greenlawn Ave, Columbus, OH 43223-2616
Phone: 6144454600

SHAKER CLINIC, LLC (NPI# 1619372679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619372679
Entity Type Organization
Organization Name SHAKER CLINIC, LLC
Other Organization Name OHIO CLINIC FOR PSYCHIATRY
Practice Address 880 Greenlawn Ave
Columbus
OH 43223-2616
Mailing Address 6100 Tower Cir Ste 1000
Franklin
TN 37067-1509
Practice Telephone 6144454600
Mailing Telephone 6158616000
Enumeration Date 2014-11-03
Last Update Date 2018-10-19
Authorized Official Name MR. CHRISTOPHER L HOWARD (VP & TREASURER)
Authorized Official Telephone 6158616000
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Ohio Clinic for Psychiatry Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1437563129 Shaker Clinic, LLC Clinic/Center 2419 E High Ave, New Philadelphia, OH 44663-3329 2014-06-20
1568532620 Shaker Clinic, LLC Clinic/Center 899 E Broad St, Columbus, OH 43205-1156 2006-11-08
1831209816 Shaker Clinic, LLC Clinic/Center 20600 Chagrin Blvd, Suite 620, Shaker Heights, OH 44122-5327 2006-08-30

Office Location

Street Address 880 GREENLAWN AVE
City COLUMBUS
State OH
Zip Code 43223-2616

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215907332 Angela B Wallenbrock Psychiatry & Neurology 880 Greenlawn Ave, Columbus, OH 43223-2616 2006-01-23
1225699291 Arlene F Stewart Case Manager/Care Coordinator 880 Greenlawn Ave, Columbus, OH 43223-2616 2019-06-21
1477931681 Brenton Beckley Counselor 880 Greenlawn Ave, Columbus, OH 43223-2616 2015-05-08
1003293895 Sally Raterman Social Worker 880 Greenlawn Ave, Columbus, OH 43223-2616 2015-04-30
1750771804 Esmond Onsomu Counselor 880 Greenlawn Ave, Columbus, OH 43223-2616 2015-01-28
1275964934 Mana Medical, Inc. Psychiatry & Neurology 880 Greenlawn Ave, Columbus, OH 43223-2616 2013-12-06
1417398587 Angela B. Wallenbrock, Md Psychiatry & Neurology 880 Greenlawn Ave, Columbus, OH 43223-2616 2013-07-17
1255671756 Ohio Hospital for Psychiatry, LLC Community/Behavioral Health 880 Greenlawn Ave, Columbus, OH 43223-2616 2013-02-20
1437497443 Christina L Beck Social Worker 880 Greenlawn Ave, Columbus, OH 43223-2616 2013-01-25
1902116973 Ohio Hospital for Psychiatry Pharmacy 880 Greenlawn Ave, Attn: Pharmacy, Columbus, OH 43223-2616 2010-10-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386121879 Select Medical Transportation Services, LLC Non-emergency Medical Transport (VAN) 1965 Zettler Center Dr, Columbus, OH 43223 2018-07-26
1659867778 Latisha White Licensed Practical Nurse 765 Pierce Drive, Columbus, OH 43223 2018-07-02
1225522790 Maressa K Carter Behavior Technician 735 Pierce Dr, Columbus, OH 43223 2018-06-19
1942704192 Florence Arinaitwe Counselor Netcare Access, 199 S. Central Avenue, Columbus, OH 43223 2018-03-22
1659882256 Heinzerling Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1605 Heinzerling Drive, Columbus, OH 43223 2017-10-23
1679084271 Heinzerling Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1625 Heinzerling Drive, Columbus, OH 43223 2017-10-23
1346769445 Karla L Delcour Psychologist 2200 W. Broad Street, Columbus, OH 43223 2017-09-11
1740711365 Heather Price Counselor 1788 Winding Field St, Columbus, OH 43223 2017-03-24
1477848133 Anu Raghavan Psychiatry & Neurology 199 S. Central Ave, Columbus, OH 43223 2011-06-10
1588837728 Pomegranate Health Systems of Central Ohio, Inc. Psychiatric Hospital 765 Pierce Dr., Columbus, OH 43223 2008-04-09
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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1265933774 Amber Dawn Counseling and Recovery Services, LLC Clinic/Center 447 E Main St Ste 220e, Columbus, OH 43215-5661 2018-02-21
1649516527 National Youth Advocate Program Clinic/Center 2600 Sandcrest Blvd Ste A, Columbus, IN 47203-3053 2012-12-20
1104198597 William W Friday, Ph.d., Inc. Clinic/Center 5340 E Main St Ste 205, Columbus, OH 43213-2574 2012-02-01
1104007434 West Central Georgia Regional Hospital Clinic/Center 6408 Hunter Rd, Columbus, GA 31907-4474 2007-11-15
1215055090 Dccca, Inc Clinic/Center 501 W Central St, Columbus, KS 66725-9211 2007-03-27
1497886337 Quinco Consulting Center Inc Clinic/Center 2999 9th St, Columbus, IN 47201-2605 2007-03-09
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Competitor

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City COLUMBUS
Zip Code 43223

Improve Information

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Dataset Information

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.

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