Provider Demographics
NPI:1639287030
Name:SCARNATI, RICHARD ALFRED (BS MA RPT(CA) DO FAP)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:ALFRED
Last Name:SCARNATI
Suffix:
Gender:M
Credentials:BS MA RPT(CA) DO FAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 20203
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43220
Mailing Address - Country:US
Mailing Address - Phone:614-306-8470
Mailing Address - Fax:
Practice Address - Street 1:1301 N HIGH ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43201
Practice Address - Country:US
Practice Address - Phone:614-299-6600
Practice Address - Fax:614-299-6715
Is Sole Proprietor?:No
Enumeration Date:2006-08-26
Last Update Date:2011-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34-0029462084F0202X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHP274411Medicaid
31-0847283OtherFEDERAL ID
OH9147532Medicare ID - Type UnspecifiedNORTH CENTRAL MENTAL HEAL
OHP274411Medicaid