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OSU PSYCHIATRY LLC NPI 1194773317


NPI Information

NPI: 1194773317
Provider Name: OSU PSYCHIATRY, LLC
Classification: Psychologist - 103TC2200X
Entity Type: Organization

Specialization: Clinical Child & Adolescent

Address:
1670 UPHAM DR
SUITE 140
COLUMBUS, OH
ZIP 43210
Phone: (614) 293-9600
Get Directions

OSU PSYCHIATRY, LLC is a clinical child and adolescent psychologist in Columbus, OH. The provider is a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. OSU PSYCHIATRY, LLC NPI is 1194773317. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1670 UPHAM DR
SUITE 140
COLUMBUS, OH
ZIP 43210-250
Phone: (614) 293-9600
Fax: (614) 293-4200

The provider's authorized official is Amanda Lucas .
The authorized official title is Executive Director Osu & Harding and has the following contact phone number (614) 293-8283.

The enumeration date for this NPI number is 5/4/2006 and was last updated on 5/31/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
3103TC2200XPsychologistClinical Child & AdolescentYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12454035MEDICAIDOHIO
29341851MEDICARE PINOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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