Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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James B Shackson, MD

Individual provider Psychiatry Physician · NPI 1831185545

James B Shackson, MD is a Psychiatry in Columbus, Ohio. Graduated from Northeastern Ohio University College of Medicine in 1988, 38 years ago. Practices with Guidestar Eldercare Corp - Ks, a 12-clinician group, works from 8 locations and accepts Medicare assignment. Licensed in Indiana, Kansas, Kentucky and Michigan and 5 more.

Years since qualifying
38
Trained at
Northeastern Ohio University College of Medicine
Licensed in
IN, KS, KY, MI, MO, OH
In the registry since
2005
Specialties on file
9
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

21 E State St
Columbus, OH 43215-4281
Phone: (574) 546-1900
Fax: (574) 546-1999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (7)

  • 2100 N Main St # 304, Crown Point, IN 46307-1877 — (574) 546-1900
  • 12345 W 95th St Fl 2, Lenexa, KS 66215-3853 — (574) 546-1900
  • 312 S 4th St Ste 700, Louisville, KY 40202-3046 — (574) 546-1900
  • 3200 Greenfield Rd Ste 300, Dearborn, MI 48120-1805 — (574) 546-1900
  • 9378 S Mason Montgomery Rd, Mason, OH 45040-8827 — (513) 382-5112
  • 311 E Pleasant Valley Blvd Fl 2, Altoona, PA 16602-5512 — (574) 546-1900
  • 6000 Poplar Ave Ste 250, Memphis, TN 38119-3974 — (574) 546-1999

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 35-062208 (OH)
Psychiatry Physician Taxonomy 2084P0800X · Licence 01045038A (IN)
Psychiatry Physician Taxonomy 2084P0800X · Licence MD487198C (PA)
Psychiatry Physician Taxonomy 2084P0800X · Licence 04-52327 (KS)
Psychiatry Physician Taxonomy 2084P0800X · Licence 67932 (TN)
Psychiatry Physician Taxonomy 2084P0800X · Licence V4066 (TX)
Psychiatry Physician Taxonomy 2084P0800X · Licence 2026005587 (MO)
Psychiatry Physician Taxonomy 2084P0800X · Licence EMC0005754 (MI)
Psychiatry Physician Taxonomy 2084P0800X · Licence C1406 (KY)

Record details

NPI number1831185545
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 27, 2005
Last updated in NPPESJune 1, 2026
Certification dateJune 1, 2026
Mailing addressPo Box 11167, Fort Wayne, IN 46856-1167

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolNORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduated 1988 (38 years in practice)
Group practice Guidestar Eldercare Corp - Ks — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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