Organization Active NPI

Kamalathara Srikanth

  • Community/Behavioral Health Agency
  • East Windsor, NJ
National Provider Identifier
1326309428
Registry record updated Jun 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1-10-7089 Issued in NJ
Legal business name
KAMALATHARA SRIKANTH
Doing business as
none
Practice address
12 Van Gogh Dr
East Windsor, NJ 08520-2999
Phone
(609) 721-2227
NPI assigned
Jun 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2012

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

Authorized official

Name
Mrs. Kamalathara Srikanth, MAT, BCBA
Title
Clinical Director
Phone
(609) 721-2227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1-10-7089 NJ Primary

Addresses

Primary practice location

12 Van Gogh Dr
East Windsor, NJ 08520-2999

Mailing address

12 Van Gogh Dr
East Windsor, NJ 08520-2999
Phone (609) 721-2227

Other identifiers 1

IdentifierTypeStateIssuer
1396046157OtherNJNPI

Other names 1

  • none Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338854400000",
    "number": "1326309428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 VAN GOGH DR",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085202999",
            "telephone_number": "609-721-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 VAN GOGH DR",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085202999",
            "telephone_number": "609-721-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAMALATHARA SRIKANTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-05",
        "last_updated": "2012-06-05",
        "status": "A",
        "authorized_official_last_name": "SRIKANTH",
        "authorized_official_first_name": "KAMALATHARA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "609-721-2227",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MAT, BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "1-10-7089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1396046157",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Windsor, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; 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.