Provider Demographics
NPI:1275552697
Name:WEST CENTRAL OHIO PSYCHIATRIC CARE, INC.
Entity Type:Organization
Organization Name:WEST CENTRAL OHIO PSYCHIATRIC CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:ALSHAMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-423-4546
Mailing Address - Street 1:1060 SUMMITT DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:MIDDLETOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45042-3400
Mailing Address - Country:US
Mailing Address - Phone:513-423-4546
Mailing Address - Fax:513-423-4548
Practice Address - Street 1:1060 SUMMITT DR
Practice Address - Street 2:SUITE B
Practice Address - City:MIDDLETOWN
Practice Address - State:OH
Practice Address - Zip Code:45042-3400
Practice Address - Country:US
Practice Address - Phone:513-423-4546
Practice Address - Fax:513-423-4548
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2017-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-0846292084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9345441OtherMEDICARE ID
OH=========OtherTAX ID#