Organization Active NPI

Raj Clinics Professional Services Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Logansport, IN
National Provider Identifier
1174793632
Registry record updated Oct 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
RAJ CLINICS PROFESSIONAL SERVICES CORPORATION
Practice address
6 Chase Park
Logansport, IN 46947-1553
Phone
(574) 732-1166
Fax
(574) 753-4117
NPI assigned
Mar 11, 2008
Last updated
Oct 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2014

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

Authorized official

Name
Dr. Sitha Gita Kalapatapu, MD.,DGO.,FAPA.
Title
President
Phone
(574) 732-1166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

6 Chase Park
Logansport, IN 46947-1553

Mailing address

909 Lakeview Dr
Logansport, IN 46947-2208
Phone (574) 732-1166

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413417600000",
    "number": "1174793632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 LAKEVIEW DR",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469472208",
            "telephone_number": "574-732-1166",
            "fax_number": "574-753-4117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CHASE PARK",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469471553",
            "telephone_number": "574-732-1166",
            "fax_number": "574-753-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJ CLINICS PROFESSIONAL SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2014-10-16",
        "status": "A",
        "authorized_official_last_name": "KALAPATAPU",
        "authorized_official_first_name": "SITHA",
        "authorized_official_middle_name": "GITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-732-1166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD.,DGO.,FAPA."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logansport, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; 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.