Active NPI
Patalam Sriramulu Sriharsha, M.D.
- Geriatric Psychiatry Physician
- Hazleton, PA
National Provider Identifier
1154377562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Psychiatry Physician
- License
- MD025995E
- Practice address
- 750 E Broad St
Hazleton, PA 18201-6835 - Phone
- (570) 455-6385
- Fax
- (570) 455-7064
- NPI assigned
- May 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Psychiatry Physician | 2084P0805X | MD025995E | PA | Primary |
Addresses
Primary practice location
750 E Broad St
Hazleton, PA 18201-6835
Mailing address
750 E Broad St
Hazleton, PA 18201-6835
Phone (570) 455-6385
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0008345120004 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Counseling Services | Current | Accepting new patients |
Locations
750 E Broad St
Hazleton, PA 18201
121 S Prospect St
Nanticoke, PA 18634
Phone 5704556385 ext. 255
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.
-
- Clinic/Center
- Hazle Township, PA
- NPI 1649608530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1154377562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 E BROAD ST",
"city": "HAZLETON",
"state": "PA",
"postal_code": "182016835",
"telephone_number": "570-455-6385",
"fax_number": "570-455-7064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 E BROAD ST",
"city": "HAZLETON",
"state": "PA",
"postal_code": "182016835",
"telephone_number": "570-455-6385",
"fax_number": "570-455-7064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SRIHARSHA",
"first_name": "PATALAM",
"middle_name": "SRIRAMULU",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "PA",
"license": "MD025995E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0008345120004",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hazleton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.