Healthcare Provider Details

I. General information

NPI: 1376811216
Provider Name (Legal Business Name): METRO PSYCHIATRY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2011
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 E MAIN ST STE 130
COLUMBUS OH
43215-5369
US

IV. Provider business mailing address

500 E MAIN ST STE 130
COLUMBUS OH
43215-5369
US

V. Phone/Fax

Practice location:
  • Phone: 614-933-4200
  • Fax: 614-407-7622
Mailing address:
  • Phone: 614-933-4200
  • Fax: 614-407-7622

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number35081181
License Number StateOH

VIII. Authorized Official

Name: MARK E BLAIR
Title or Position: PRESIDENT AND PSYCHIATRIST
Credential: MD
Phone: 614-933-4200