James Shackson MD
James Shackson MD is a healthcare organization registered as Geriatric Psychiatry Physician in Cincinnati, OH, holding Type 2 (organization) NPI 1962565408 since 2006. The authorized official on file is James Shackson, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1962565408 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | James Shackson MD |
| Practice address | 9525 KENWOOD RD, SUITE 16-382, Cincinnati, OH, 45242 |
| Phone | 5137213504 |
| Fax | 5133456281 |
| Enumeration date | 2006-12-18 |
| Last updated in NPPES | 2008-06-10 |
Authorized official
| Name | James Shackson |
|---|---|
| Title | President |
| Phone | 5137213504 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 2084P0805X | Geriatric Psychiatry Physician | Primary | 35062208 | OH |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 934725 | Medicaid | OH | — |
| P00381869 | Other | OH | MEDICARE RAILROAD |
| 200084400B | Medicaid | IN | — |
Copy-ready billing details
Provider: James Shackson MD NPI: 1962565408 Taxonomy: 2084P0805X (Geriatric Psychiatry Physician) Address: 9525 KENWOOD RD, SUITE 16-382, Cincinnati, OH, 45242
Providers at this address
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|---|---|---|---|---|
| 1033395850 | Thoma & Sutton Eyecare Professionals, LLC | Organization | Eyewear Supplier | Cincinnati, OH |
| 1053662486 | Connect Hearing, Inc. | Organization | Hearing Aid Equipment | Cincinnati, OH |
| 1366332777 | Clarkson Optometry Midwest Inc | Organization | Optometrist | Blue Ash, OH |
Verify this record
Cross-check NPI 1962565408 against the authoritative CMS record: view James Shackson MD on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2008-06-10.