JAMES SHACKSON MD
NPI 1962565408
Psychiatry & Neurology - Geriatric Psychiatry in Cincinnati, OH

Active since December 18, 2006
9525 KENWOOD RD, SUITE 16-382, CINCINNATI, OH 45242(513) 721-3504(513) 345-6281 Get Directions Write a Review

NPPES record last updated: June 10, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About James Shackson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMES SHACKSON MD (NPI 1962565408) is a healthcare organization registered as a geriatric psychiatry in Cincinnati, Ohio and active in the NPI registry since December 2006. The organization lists James Shackson, President, as its authorized official.

NPPES Registry Identity

NPI1962565408
Entity TypeOrganization
Primary Taxonomy2084P0805X
Legal Business NameJAMES SHACKSON MD
Location Address9525 KENWOOD RD, SUITE 16-382Cincinnati, OH 45242-6176
Mailing AddressL 6122Cincinnati, OH 45270-6122 · (513) 721-3504 · Fax (513) 345-6281
Fax(513) 345-6281
Organization SubpartNo
Authorized OfficialJames ShacksonPresident · (513) 721-3504
Enumeration DateDecember 18, 2006
Last NPPES UpdateJune 10, 2008
NPI 1962565408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · Geriatric PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0805X
License Licensed in OH · 35062208
Definition

Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.

9525 KENWOOD RD, Cincinnati, OH 45242

Other Identifiers 7

OtherP00381869OH · Medicare Railroad
Medicare UPINF60593OH
Medicare PIN0743335OH
Medicare PIN9365561OH
Medicare PIN255830IN
Medicaid200084400BIN
Medicaid934725OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Eyewear Supplier
9525 KENWOOD RD
CINCINNATI, OH 45242
Hearing Aid Equipment
9525 KENWOOD RD, STE 2
CINCINNATI, OH 45242
Optometrist
9525 KENWOOD RD
BLUE ASH, OH 45242

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962565408, enumerated as an "organization" on December 18, 2006.

The provider is located at 9525 KENWOOD RD SUITE 16-382 CINCINNATI, OH 45242 and the phone number is (513) 721-3504.

Psychiatry & Neurology with taxonomy code 2084P0805X and a focus in Geriatric Psychiatry.

The provider might be accepting Accepts: Railroad Medicare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.