Sreeramulu Reddy Vaka, M. D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

35-078312 Issued in OH

Practice address

6900 Southpoint Dr N
Room 530
Jacksonville, FL 32216-8007

Phone

(904) 470-6900

Fax

(904) 739-0171

NPI assigned

Sep 20, 2006

Last updated

Apr 4, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/northcommunity/r4/

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.

• North Community Counseling Centers Inc

  • Clinic/Center
  • Columbus, OH
  • NPI 1003085648
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396569600000",
    "number": "1265539373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 SOUTHPOINT DR N",
            "address_2": "ROOM 530",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168007",
            "telephone_number": "904-470-6900",
            "fax_number": "904-739-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 SOUTHPOINT DR N",
            "address_2": "ROOM 530",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168007",
            "telephone_number": "904-470-6900",
            "fax_number": "904-739-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAKA",
        "first_name": "SREERAMULU",
        "middle_name": "REDDY",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35-078312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Lee Vail, LCSW
• Robin Smith Vail, PH.D.
• Marydee Lynn Vaile, D.C.
• Danielle L Vailes, MED, ATC, LAT, CES
• Vita Vairogs, MD
• Susmitha Vaka, M.D.
• Vakil Therapeutic Services (The Elements)
• Purvi P Vakil, PT
• Val-U-Vision Inc (Val-U-Vision of Regency)
• Val-U-Vision of Beauclerc-Mandarin Inc

• Psychiatry Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.