Active NPI
Geetha Manikkara, MD
- Child & Adolescent Psychiatry Physician
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 0101275201
- Practice address
- 1308 Sherwood Ave
Richmond, VA 23220-1210 - Phone
- (804) 628-7125
- Fax
- (804) 628-1236
- NPI assigned
- May 15, 2018
- Last updated
- Jan 3, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 0101275201 | VA | Primary |
Addresses
Primary practice location
1308 Sherwood Ave
Richmond, VA 23220-1210
Mailing address
PO Box 780125
Philadelphia, PA 19178-0125
Phone (804) 922-4844
Other practice location 1
2924 Brook Rd Ste 1
Richmond, VA 23220-1215
Phone (804) 628-9346
Other practice location 2
1200 E Broad St
Richmond, VA 23298-5025
Phone (804) 628-9346
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCV Associated Physicians | Current | Accepting new patients |
Locations
1200 E Broad St
Richmond, VA 23298
Phone (804) 828-0970
1308 Sherwood Ave
Richmond, VA 23220
Phone (804) 828-3129
2924 Brook Rd
Ste 1
Richmond, VA 23220
Phone (804) 321-7474
401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409
Organizations & group practices 1
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": "1526342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704240000000",
"number": "1306336300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 780125",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191780125",
"telephone_number": "804-922-4844",
"fax_number": "804-327-3065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1308 SHERWOOD AVE",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232201210",
"telephone_number": "804-628-7125",
"fax_number": "804-628-1236"
}
],
"practiceLocations": [
{
"address_1": "2924 Brook Rd Ste 1",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232201215",
"country_code": "US",
"telephone_number": "804-628-9346",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1200 E Broad St",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232985025",
"country_code": "US",
"telephone_number": "804-628-9346",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANIKKARA",
"first_name": "GEETHA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-15",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "VA",
"license": "0101275201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.