Mukundam Nmi Veerabathini, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

MD072878-L Issued in PA

Practice address

3500 E College Ave
Suite 1200
State College, PA 16801-7569

Phone

(814) 355-6782

Fax

(814) 355-6985

NPI assigned

Feb 21, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Alternative Community Resource Program, Inc.Group PAC ID 0244277234, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Alternative Community Resource Program, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Johnstown, PA
  • NPI 1942398839
  Medicare reassignment Care Compare group NPD
• Integrated Behavioral Healthcare Management Services, Inc.

  • Clinic/Center
  • Huntingdon, PA
  • NPI 1598874414
  Medicare reassignment NPD
• Nulton Diagnostic & Treatment Center, PC

  • Neurodevelopmental Disabilities Physician
  • Johnstown, PA
  • NPI 1073573010

  Psychiatry

  Medicare reassignment NPD
• Nulton Diagnostic & Treatment Center, PC.

  • Community/Behavioral Health Agency
  • Johnstown, PA
  • NPI 1649515552
  NPD
• Alternative Community Resource Program

  • Community/Behavioral Health Agency
  • Altoona, PA
  • NPI 1407179898
  NPD (past)
• Cambria Cnty MH Mr Da

  • Psychiatry Physician
  • Johnstown, PA
  • NPI 1336216506
  NPD (past)
• Integrated Behavioral Healthcare Management Services, Inc.

  • Psychiatry Physician
  • Huntingdon, PA
  • NPI 1457488298
  NPD (past)
• Windber Hospital, Inc.

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405468800000",
    "number": "1306981964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 E COLLEGE AVE",
            "address_2": "SUITE 1200",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017569",
            "telephone_number": "814-355-6782",
            "fax_number": "814-355-6985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 E COLLEGE AVE",
            "address_2": "SUITE 1200",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017569",
            "telephone_number": "814-355-6782",
            "fax_number": "814-355-6985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEERABATHINI",
        "first_name": "MUKUNDAM",
        "middle_name": "NMI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2014-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "MD072878-L",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD072878L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1836754",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "VE10411733",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Brooke Varela, DO
• Vassar Integrative Psychiatry PLLC
• Joann Vautour
• Raymond Joseph Vautour, MD
• Melanie Veeder, LPC
• Dmitry A Vilensky, M.D.
• Vyacheslav Vilensky, M.D.
• Rose Villarreal
• Maria A Vinca, PHD
• Visionworks, Inc.

• Child & Adolescent Psychiatry Physician in State College, PA
• Providers in State College, PA by specialty
• Child & Adolescent Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.