Active NPI
Nina Evelyn Sreshta, MD
- Psychiatry Physician
- Woodland, CA
National Provider Identifier
1154749752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- C195590
- Practice address
- 213 West Beamer Street
Woodland, CA 95695 - Phone
- (530) 666-8630
- NPI assigned
- Apr 1, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 269551 | MA | |
| Psychiatry Physician | 2084P0800X | C195590 | CA | Primary |
| Psychiatry Physician | 2084P0800X | D0097053 | MD | |
| Student in an Organized Health Care Education/Training Program | 390200000X | MA |
Addresses
Primary practice location
213 West Beamer Street
Woodland, CA 95695
Mailing address
213 West Beamer Street
Woodland, CA 95695
Phone (530) 666-8630
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C195590 | CA | MD | Psychiatry Physician |
| 269551 | MA | MD | Psychiatry Physician |
| D0097053 | MD | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Melrosewakefield Healthcare, Inc. | Current | Accepting new patients | |
| Teladoc Health Medical Group, P.a. | Psychiatry | Current | Accepting new patients |
| Melrosewakefield Healthcare, Inc. | Current | Accepting new patients | |
| Hallmark Health System Inc | Psychiatry | Current | Accepting new patients |
| Yolo County Health and Human Services Agency | Past | Accepting new patients |
Locations
170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000
585 Lebanon St
Melrose, MA 02176
Phone (781) 979-3026
Interoperability endpoints
- ninasreshta@tdh.allscriptsdirect.net
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Medford, MA
- NPI 1841290467
-
- Psychiatric Hospital Unit
- Medford, MA
- NPI 1891835351
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Psychiatry
-
- Community/Behavioral Health Agency
- Woodland, CA
- NPI 1346446432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715644800000",
"number": "1154749752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 WEST BEAMER STREET",
"city": "WOODLAND",
"state": "CA",
"postal_code": "95695",
"telephone_number": "530-666-8630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "213 WEST BEAMER STREET",
"city": "WOODLAND",
"state": "CA",
"postal_code": "95695",
"telephone_number": "530-666-8630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SRESHTA",
"first_name": "NINA",
"middle_name": "EVELYN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-01",
"last_updated": "2024-05-14",
"certification_date": "2024-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "269551",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "C195590",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D0097053",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.