Dr Sreedevi Komarneni Choices LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD-031425E Issued in PA

Legal business name

DR SREEDEVI KOMARNENI CHOICES LLC

Practice address

2214 N Atherton St
State College, PA 16803-1544

Phone

(814) 237-0567

Fax

(814) 237-0569

NPI assigned

Apr 11, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Sreedevi Komarneni, M.D

Title

Psychiatrist

Phone

(814) 237-0567

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jessie Westrick Starks, M.A.

  • Counselor
  • State College, PA
  • NPI 1104222462
  NPD (past)

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463097600000",
    "number": "1407210974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2214 N ATHERTON ST",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168031544",
            "telephone_number": "814-237-0567",
            "fax_number": "814-237-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2214 N ATHERTON ST",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168031544",
            "telephone_number": "814-237-0567",
            "fax_number": "814-237-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SREEDEVI KOMARNENI CHOICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-11",
        "last_updated": "2016-05-13",
        "status": "A",
        "authorized_official_last_name": "KOMARNENI",
        "authorized_official_first_name": "SREEDEVI",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "814-237-0567",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD-031425E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen M. Donelan, M.D.
• Bonnie Dorman, CRNA
• J Frederick Doucette, MD
• Dana J Douglas, LMT
• Dr Pauls Family & Urgent Care
• Dr Younkins & Associates
• Dr Yuhung NG DDS LLC
• Dr. Cristin Hall Psychotherapy, LLC
• Kimberly Drake
• Aleea Dreese, AUD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; 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.