Active NPI
Hima B Palakurthi, MD
- Child & Adolescent Psychiatry Physician
- Raleigh, NC
National Provider Identifier
1346397833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 2007-00030
- Practice address
- 5904 Norwood Knolls Way
Raleigh, NC 27614-8296 - Phone
- (919) 414-1334
- Fax
- (919) 414-1334
- NPI assigned
- Jan 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 2007-00030 | NC | Primary |
Addresses
Primary practice location
5904 Norwood Knolls Way
Raleigh, NC 27614-8296
Mailing address
5904 Norwood Knolls Way
Raleigh, NC 27614-8296
Phone (919) 414-1334
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5905884 | Medicaid | NC |
Other names 1
- Hima Javangula
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2007-00030 | NC | MD | Child & Adolescent Psychiatry Physician |
| 00030 | NC | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Triumph LLC | Past | Accepting new patients | |
| Child and Family Psychiatry PLLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychiatry Physician
- Raleigh, NC
- NPI 1508287822
-
- Clinical Social Worker
- Raleigh, NC
- NPI 1003961269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348444800000",
"number": "1346397833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5904 NORWOOD KNOLLS WAY",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276148296",
"telephone_number": "919-414-1334",
"fax_number": "919-414-1334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5904 NORWOOD KNOLLS WAY",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276148296",
"telephone_number": "919-414-1334",
"fax_number": "919-414-1334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALAKURTHI",
"first_name": "HIMA",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2012-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NC",
"license": "2007-00030",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5905884",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HIMA",
"last_name": "JAVANGULA",
"credential": "M.D",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.