Shiva Kumar Lam, MD, PA

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

Legal business name

SHIVA KUMAR LAM, MD, PA

Practice address

1407 W Stassney LN
Austin, TX 78745-2947

Phone

(512) 440-4800

Fax

(512) 440-4836

NPI assigned

Dec 9, 2010

Organization subpart

No

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

Authorized official

Name

Allie Lam

Title

Office Manager

Phone

(512) 467-2840

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shiva Kumar Lam, MD

  • Psychiatry Physician
  • Austin, TX
  • NPI 1871671032
  Medicare reassignment NPD
• Laura McDowell Salcedo, LCSW

  • Clinical Social Worker
  • Austin, TX
  • NPI 1346294832
  NPD (past)

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

{
    "created_epoch": "1291852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664496000000",
    "number": "1023311321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P. O. BOX 26100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78755",
            "telephone_number": "512-467-2840",
            "fax_number": "512-692-9158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 W STASSNEY LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787452947",
            "telephone_number": "512-440-4800",
            "fax_number": "512-440-4836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8402 Cross Park Dr",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787544595",
            "country_code": "US",
            "telephone_number": "512-215-3900",
            "fax_number": "512-215-3190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1025 E 32nd St",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787052714",
            "country_code": "US",
            "telephone_number": "512-544-5253",
            "fax_number": "512-544-5946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHIVA KUMAR LAM, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-09",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "ALLIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "512-467-2840"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "TXB144749",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096990903",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305165801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "TXB144748",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305165802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia Shirar, LPC
• Susana Alyson Shirey, OT
• Paul Daniel Shirk, DC
• Kathryn Ruth Shirley, FNP
• Mary Shirley
• Alok Shiva, DMD
• Prarthana Shivabasappa, PHD
• Sydney Paige Shivers, PA-C
• Nikhita Rose Shiwach, NP
• Ruslan Shkaradyuk, MS, RD

• Child & Adolescent Psychiatry Physician in Austin, TX
• Providers in Austin, TX by specialty
• Child & Adolescent Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.