Pisipati LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

PISIPATI LLC

Practice address

550 33Rd Ave N
Clinton, IA 52732-1585

Phone

(563) 242-0560

NPI assigned

Dec 16, 2011

Organization subpart

No

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

Authorized official

Name

Prabhakar Pisipati, M.DNPI 1649276437

Title

Owner

Phone

(563) 219-0675

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Prabhakar Pisipati, MD

  • Geriatric Psychiatry Physician
  • Gainesville, GA
  • NPI 1649276437
  NPD (past) Authorized official

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

{
    "created_epoch": "1323993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323993600000",
    "number": "1326317538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 862",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527330862",
            "telephone_number": "563-219-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 33RD AVE N",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527321585",
            "telephone_number": "563-242-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PISIPATI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-16",
        "last_updated": "2011-12-16",
        "status": "A",
        "authorized_official_last_name": "PISIPATI",
        "authorized_official_first_name": "PRABHAKAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-219-0675",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reese Raymond Petersen, DC
• Mara Lynn Peth, PA-C
• Jenna Pike
• Pinnacle Integrative Healthcare, PLLC
• Pinnacle Outreach, Inc.
• Michele Plocki
• Rusty Allen Plunkett, DPT
• Laura Ann Pollard, MSN, CRNA
• Prairie Hills at Clinton Operations LLC
• Premier Physician Services Inc

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Clinton, IA
• Providers in Clinton, IA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; 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.