Individual provider Active NPI

Radha Sripathy Shankar, PH.D.

  • Psychologist
  • Arlington, VA
National Provider Identifier
1003082587
Registry record updated Jun 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0810003731 Issued in VA
Practice address
200 N Glebe Rd
Suite 1050
Arlington, VA 22203-3728
Phone
(703) 258-2243
NPI assigned
May 5, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 0810003731 VA Primary

Addresses

Primary practice location

200 N Glebe Rd
Suite 1050
Arlington, VA 22203-3728

Mailing address

200 N Glebe Rd
Suite 1050
Arlington, VA 22203-3728
Phone (703) 258-2243

Other names 1

  • Radha Sripathy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210217001683 KS Practitioner - Clinical Psychologist 7214342625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

105 E College Dr
Colby, KS 67701-3701

2101 SW 21St St
Forefront Rosenzweig Med SVCS PC
Topeka, KS 66604-3174
Phone (972) 449-0540

601 E Main St
Pretty Prairie, KS 67570-9202

650 Lake Rd
Atwood, KS 67730-1535
Phone (972) 449-0540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0810003731VAMDPsychologist
2532KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront-Rosenzweig Medical Services Professional Corporation CurrentSince Feb 11, 2021 Accepting new patients

Locations

2101 SW 21st St
Topeka, KS 66604
Phone (660) 559-6188

Interoperability endpoints

  • Direct secure messaging: radha.shankar.1@24287.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245369600000",
    "number": "1003082587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N GLEBE RD",
            "address_2": "SUITE 1050",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222033728",
            "telephone_number": "703-258-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N GLEBE RD",
            "address_2": "SUITE 1050",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222033728",
            "telephone_number": "703-258-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANKAR",
        "first_name": "RADHA",
        "middle_name": "SRIPATHY",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-05",
        "last_updated": "2009-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0810003731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RADHA",
            "last_name": "SRIPATHY",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.