Individual provider Active NPI

Anupama Sivakumar, MD

  • Psychiatry Physician
  • Nederland, TX
National Provider Identifier
1255382404
Registry record updated May 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
N6671 Issued in TX
Practice address
3318 Highway 365
Nederland, TX 77627-7832
Phone
(409) 727-1717
Fax
(409) 293-3736
NPI assigned
May 12, 2006
Last updated
May 11, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X N6671 TX Primary

Addresses

Primary practice location

3318 Highway 365
Nederland, TX 77627-7832

Mailing address

3318 Highway 365
Nederland, TX 77627-7832
Phone (409) 727-1717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N6671TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Conventions Psychiatry & Counseling, P.C. Psychiatry Past Accepting new patients
Compass Psychiatry Services, PLLC Psychiatry PastSince Jun 15, 2010 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305072000000",
    "number": "1255382404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3318 HIGHWAY 365",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776277832",
            "telephone_number": "409-727-1717",
            "fax_number": "409-293-3736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3318 HIGHWAY 365",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776277832",
            "telephone_number": "409-727-1717",
            "fax_number": "409-293-3736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIVAKUMAR",
        "first_name": "ANUPAMA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2011-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "N6671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nederland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; 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.