SDS Psychiatric Services LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

SDS PSYCHIATRIC SERVICES LLC

Practice address

615 Clinic Dr
Longview, TX 75605-5172

Phone

(903) 212-3105

NPI assigned

Sep 9, 2015

Last updated

Sep 9, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shauna Desai Shah

Title

Owner/Provider

Phone

(903) 331-0506

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rajashekar Lakkadi, MD

  • Pain Medicine (Anesthesiology) Physician
  • Longview, TX
  • NPI 1588669303
  NPD (past)

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1164890141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2922",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756062922",
            "telephone_number": "903-331-0506",
            "fax_number": "903-331-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 CLINIC DR",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055172",
            "telephone_number": "903-212-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SDS PSYCHIATRIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-09",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SHAUNA",
        "authorized_official_middle_name": "DESAI",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "903-331-0506",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Allen Scott, M.D.
• Stephanie N Scott
• Deirdre Scotter, ATC, LAT
• Anita R Scribner, MD
• Lisa M Scrimpsher, FNP-C
• SDS-Bill Owens Pkwy PLLC (SDS-#3 Doctors Circle)
• SDS-Bill Owens Pkwy PLLC
• Sandra Lee Searle, LPC
• Select Rehab of East Texas, Inc
• Select Rehab of East Texas, Inc. (Select Medical of East Texas)

• Psychiatry Physician in Longview, TX
• Providers in Longview, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.