NPIMap

Organization Active NPI

Hilton Head Psychiatric Clinics, PC

  • Psychiatry Physician
  • Hilton Head Island, SC
National Provider Identifier
1245408103
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
23689 Issued in SC
Legal business name
HILTON HEAD PSYCHIATRIC CLINICS, PC
Practice address
60 Main St
Suite H
Hilton Head Island, SC 29926-6602
Phone
(843) 681-1935
Fax
(843) 681-7546
NPI assigned
Feb 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

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

Authorized official

Name
Dr. Ravindra Prakash Srivastava, M.D.NPI 1497822738
Title
President
Phone
(843) 681-1935

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 23689 SC Primary

Addresses

Primary practice location

60 Main St
Suite H
Hilton Head Island, SC 29926-6602

Mailing address

60 Main St
Suite H
Hilton Head Island, SC 29926-6602
Phone (843) 681-1935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100923001010 SC Part B Supplier - Clinic/Group Practice 8527184811 Receives reassigned benefits from 2 practitioners
Practice locations: Hilton Head Island, SC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457395200000",
    "number": "1245408103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 MAIN ST",
            "address_2": "SUITE H",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299266602",
            "telephone_number": "843-681-1935",
            "fax_number": "843-681-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MAIN ST",
            "address_2": "SUITE H",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299266602",
            "telephone_number": "843-681-1935",
            "fax_number": "843-681-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILTON HEAD PSYCHIATRIC CLINICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2016-03-08",
        "status": "A",
        "authorized_official_last_name": "SRIVASTAVA",
        "authorized_official_first_name": "RAVINDRA",
        "authorized_official_middle_name": "PRAKASH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-681-1935",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "23689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.