NPIMap

Organization Active NPI

Riddle Psychiatry, LLC

  • Psychiatry Physician
  • West Chester, PA
National Provider Identifier
1265702567
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD420696 Issued in PA
Legal business name
RIDDLE PSYCHIATRY, LLC
Practice address
1570 McDaniel Dr
West Chester, PA 19380-6672
Phone
(484) 444-2151
Fax
(484) 444-2152
NPI assigned
Jan 4, 2012
Last updated
Jul 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Authorized official

Name
Dr. Raman N Gopalakrishnan, MDNPI 1982688271
Title
Physician
Phone
(484) 444-2151

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 Physician 2084P0800X MD420696 PA Primary

Addresses

Primary practice location

1570 McDaniel Dr
West Chester, PA 19380-6672

Mailing address

1570 McDaniel Dr
West Chester, PA 19380-6672
Phone (484) 444-2151

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120222000251 PA Part B Supplier - Clinic/Group Practice 0749448728 Receives reassigned benefits from 4 practitioners
Practice locations: West Chester, PA

National Provider Directory

National Provider Directory

Locations

215 N Olive St
Media, PA 19063

215 N Olive St
Ste 101
Media, PA 19063
Phone (484) 444-2151

1570 McDaniel Dr
West Chester, PA 19380
Phone (484) 444-2151

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689206400000",
    "number": "1265702567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 MCDANIEL DR",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193806672",
            "telephone_number": "484-444-2151",
            "fax_number": "484-444-2152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 MCDANIEL DR",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193806672",
            "telephone_number": "484-444-2151",
            "fax_number": "484-444-2152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDDLE PSYCHIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-04",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A",
        "authorized_official_last_name": "GOPALAKRISHNAN",
        "authorized_official_first_name": "RAMAN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "484-444-2151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD420696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.