NPI Code Details Logo

NPI 1376811216

NPI 1376811216 : METRO PSYCHIATRY INC : COLUMBUS, OH

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1376811216
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    METRO PSYCHIATRY INC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/07/2011
-----------------------------------------------------
    Last Update Date     |    12/12/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    500 E MAIN ST STE 130 
-----------------------------------------------------
    City                 |    COLUMBUS
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    43215-5369
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    614-933-4200
-----------------------------------------------------
    Fax                  |    614-407-7622
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    500 E MAIN ST STE 130 
-----------------------------------------------------
    City                 |    COLUMBUS
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    43215-5369
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    614-933-4200
-----------------------------------------------------
    Fax                  |    614-407-7622
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PRESIDENT AND PSYCHIATRIST
-----------------------------------------------------
    Name                 |     MARK E BLAIR 
-----------------------------------------------------
    Credential           |    MD
-----------------------------------------------------
    Telephone            |    614-933-4200
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    2084P0800X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatry Physician
-----------------------------------------------------
    License Number       |    35081181
-----------------------------------------------------
    License Number State |    OH
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.