Organization Active NPI

Krishna Devulapalli M.D.

  • Psychiatry Physician
  • Youngstown, OH
National Provider Identifier
1184681207
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
KRISHNA DEVULAPALLI M.D.
Practice address
615 Churchill Hubbard Rd
Youngstown, OH 44505-1332
Phone
(330) 758-4515
Fax
(330) 758-2862
NPI assigned
May 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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

Authorized official

Name
Krishna Devulapalli, M.D
Title
Owener
Phone
(330) 758-4515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

615 Churchill Hubbard Rd
Youngstown, OH 44505-1332

Mailing address

615 Churchill Hubbard Rd
Youngstown, OH 44505-1332
Phone (330) 758-4515

Other identifiers 1

IdentifierTypeStateIssuer
0232233MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1184681207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 CHURCHILL HUBBARD RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051332",
            "telephone_number": "330-758-4515",
            "fax_number": "330-758-2862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 CHURCHILL HUBBARD RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051332",
            "telephone_number": "330-758-4515",
            "fax_number": "330-758-2862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISHNA DEVULAPALLI M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "DEVULAPALLI",
        "authorized_official_first_name": "KRISHNA",
        "authorized_official_title_or_position": "OWENER",
        "authorized_official_telephone_number": "330-758-4515",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0232233",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.