Individual provider Active NPI

Shwetha Ravindranath Katta

  • Psychiatry Physician
  • Fresno, CA
National Provider Identifier
1184039042
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
172200 Issued in CA
Practice address
2549 W Shaw Ave
Fresno, CA 93711-3308
Phone
(516) 304-6808
NPI assigned
Jun 30, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 260146 MA
Psychiatry Physician 2084P0800X 172200 CA Primary

Addresses

Primary practice location

2549 W Shaw Ave
Fresno, CA 93711-3308

Mailing address

2549 W Shaw Ave
Fresno, CA 93711-3308

Other practice location 1

4441 E Kings Canyon Rd
Fresno, CA 93702-3604
Phone (559) 600-9163

Other practice location 2

725 North St
Pittsfield, MA 01201-4109
Phone (413) 395-7513

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230612000998 CA Practitioner - Psychiatry 6103043138 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of MontereyGroup PAC ID 2466345632, 186 clinicians
Mental Health Systems IncGroup PAC ID 8628019320, 37 clinicians

Practice addresses (Care Compare)

1441 Constitution Blvd
Suite 202
Salinas, CA 93906-3127
Phone (831) 769-1700

2550 W Clinton Ave
Fresno, CA 93705-4206
Phone (858) 251-2314

2550 W Clinton Ave
Unit 156
Fresno, CA 93705-4210
Phone (858) 251-2314

359 Gabilan Dr
Soledad, CA 93960-3550
Phone (831) 769-8740

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
172200CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Monterey Behavioral Health CurrentSince Sep 11, 2023 Accepting new patients
Bay Area Community Services, Inc. CurrentSince May 1, 2023 Accepting new patients
Bay Area Community Services, Inc. Current Accepting new patients
Mental Health Systems, Inc. CurrentSince Jul 28, 2024 Accepting new patients
Mental Health Systems, Inc. CurrentSince Jul 26, 2024 Accepting new patients
County of Monterey Behavioral Health CurrentSince Sep 11, 2023 Accepting new patients
Bay Area Community Services Inc CurrentSince May 1, 2023 Accepting new patients
Mental Health Systems, Inc. Current Accepting new patients
Mental Health Systems, Inc. CurrentSince Jul 26, 2024 Accepting new patients
Mental Health Systems, Inc. Past Accepting new patients

Locations

2550 W Clinton Ave
Ste B
Fresno, CA 93705
Phone (858) 251-2314

2549 W Shaw Ave
Fresno, CA 93711
Phone 5592647521 ext. 6

559 16th St
Oakland, CA 94612
Phone (510) 318-6112

390 40th St
Oakland, CA 94609
Phone (510) 247-8235

1270 Natividad Rd
Salinas, CA 93906
Phone (831) 755-4500

9465 Farnham St
San Diego, CA 92123
Phone (858) 576-4311

359 Gabilan Dr
Soledad, CA 93960
Phone (831) 769-8740

Organizations & group practices 11

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1184039042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2549 W SHAW AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2549 W SHAW AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113308",
            "telephone_number": "516-304-6808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4441 E Kings Canyon Rd",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937023604",
            "country_code": "US",
            "telephone_number": "559-600-9163",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "725 North St",
            "address_purpose": "LOCATION",
            "city": "Pittsfield",
            "state": "MA",
            "postal_code": "012014109",
            "country_code": "US",
            "telephone_number": "413-395-7513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATTA",
        "first_name": "SHWETHA",
        "middle_name": "RAVINDRANATH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-30",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "260146",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "172200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.