Healthcare Provider Details

I. General information

NPI: 1871971309
Provider Name (Legal Business Name): NATHAN LAMKIN PSYD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2015
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1617 AKRON PENINSULA RD STE 102B
AKRON OH
44313-7930
US

IV. Provider business mailing address

1617 AKRON PENINSULA RD STE 102B
AKRON OH
44313-7930
US

V. Phone/Fax

Practice location:
  • Phone: 330-286-6700
  • Fax: 330-299-5567
Mailing address:
  • Phone: 330-286-6700
  • Fax: 330-299-5567

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number7159
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number7159
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number7159
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number7159
License Number StateOH
# 5
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number7159
License Number StateOH
# 6
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number7159
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: