NPIMap

Organization Active NPI

Utmb Health

  • Psychiatric Hospital Unit
  • Richmond, TX
National Provider Identifier
1104211465
Registry record updated Apr 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
H4367 Issued in TX
Legal business name
UTMB HEALTH
Practice address
4 Jester Rd
Richmond, TX 77406-8544
Phone
(281) 277-3700
NPI assigned
Apr 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2015

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

Authorized official

Name
Dr. Pushpa K Gummattira, MD
Title
Psychiatrist 1
Phone
(281) 277-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X H4367 TX Primary

Addresses

Primary practice location

4 Jester Rd
Richmond, TX 77406-8544

Mailing address

4 Jester Rd
Richmond, TX 77406-8544
Phone (281) 277-3700

National Provider Directory

National Provider Directory

Locations

4 Jester Rd
Richmond, TX 77406
Phone (281) 277-3700

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428019200000",
    "number": "1104211465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 JESTER RD",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774068544",
            "telephone_number": "281-277-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 JESTER RD",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774068544",
            "telephone_number": "281-277-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTMB HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-03",
        "last_updated": "2015-04-03",
        "status": "A",
        "authorized_official_last_name": "GUMMATTIRA",
        "authorized_official_first_name": "PUSHPA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PSYCHIATRIST 1",
        "authorized_official_telephone_number": "281-277-3700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "TX",
            "license": "H4367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.