James Shackson Md
Psychiatry | Geriatric Clinic
9525 Kenwood Rd, Suite 16-382, Cincinnati
Ohio, 45242-6176
513-721-3504 513-345-6281
Maps & DirectionsJames Shackson Md is a Psychiatry | Geriatric Clinic in Cincinnati, Ohio. It is located at 9525 Kenwood Rd, Suite 16-382, Cincinnati, OH and its contact number is 513-721-3504. The authorized person for James Shackson Md is Dr. James Shackson
who is President of the clinic and his/her contact number is 513-721-3504. The primary license number for James Shackson Md is 35062208 (Geriatric Psychiatry) in Ohio.
James Shackson Md Clinic has mental health professionals having psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.
Complete Clinic Profile:
James Shackson Md Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | James Shackson Md |
| Specialization: | Geriatric |
| Clinic Address: | 9525 Kenwood Rd, Suite 16-382, Cincinnati,
Ohio, 45242-6176 |
| Phone: | 513-721-3504 |
| Fax: | 513-345-6281 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. James Shackson |
| Position: | President |
| Contact Number: | 513-721-3504 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for James Shackson Md clinic are as mentioned below.
| NPI Number: | 1962565408 |
| NPI Enumeration Date: | 18 Dec, 2006 |
| NPI Last Update On: | 10 Jun, 2008 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for James Shackson Md are as mentioned below.
| Specialization | License Number | State | Status | |
| Geriatric Psychiatry | 35062208 | Ohio | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 934725 | Medicaid | Ohio | |
| P00381869 | Other | Ohio | Medicare Railroad |
| 200084400B | Medicaid | Indiana | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | James Shackson Md
L 6122,
Cincinnati, Ohio |
| Zip: | 45270-6122 |
| Phone Number: | 513-721-3504 |
| Fax Number: | 513-345-6281 |
Patients can reach James Shackson Md at
9525 Kenwood Rd, Suite 16-382, Cincinnati, Ohio or can
call to book an appointment on 513-721-3504.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.