Active NPI
Jyothi P Tadavarthy, M.D.
- Child & Adolescent Psychiatry Physician
- Carlisle, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- MD041087-E
- Practice address
- 33 State Ave
Carlisle, PA 17013-4432 - Phone
- (717) 243-6033
- Fax
- (717) 243-0776
- NPI assigned
- Feb 12, 2007
- Last updated
- Feb 28, 2008
- 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 | MD041087-E | PA | Primary |
Addresses
Primary practice location
33 State Ave
Carlisle, PA 17013-4432
Mailing address
1790 Eliza Way
Mechanicsburg, PA 17050-1683
Phone (717) 728-2883
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0019717680001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1151 Pocono Blvd
Mount Pocono, PA 18344-1033
Phone (570) 839-3097
1801 N Front St
Harrisburg, PA 17102-2213
Phone 7172436033269
33 State Ave
Carlisle, PA 17013-4432
Phone (215) 375-1970
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD041087-E | PA | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Merakey Pennsylvania | Current | Accepting new patients | |
| NHS Stevens Center | Current | Accepting new patients | |
| Merakey Pennsylvania | Current | Accepting new patients | |
| Merakey Pennsylvania | Current | Accepting new patients |
Locations
33 State Ave
Carlisle, PA 17013
Phone (215) 375-1970
295 State Dr
Elizabethville, PA 17023
Phone (717) 827-4636
1801 N Front St
Harrisburg, PA 17102
Phone (717) 238-7662
1801 N Front St
Ste 130
Harrisburg, PA 17102
Phone (717) 233-8266
4251 Crums Mill Rd
Harrisburg, PA 17112
Phone (717) 441-3700
4391 Sturbridge Dr
Harrisburg, PA 17110
Phone (717) 441-9457
620 Germantown Pike
Lafayette Hl, PA 19444
Phone (313) 278-2327
1151 Pocono Blvd
Mount Pocono, PA 18344
Phone (570) 243-8787
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Mount Pocono, PA
- NPI 1780830034
-
- Community/Behavioral Health Agency
- Carlisle, PA
- NPI 1740404359
-
- Community/Behavioral Health Agency
- Pottsville, PA
- NPI 1003939364
-
- Community/Behavioral Health Agency
- York, PA
- NPI 1215151170
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baton Rouge, LA
- NPI 1467252536
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1265537674
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1407813603
-
dba UPMC Pinnacle West Shore
- General Acute Care Hospital
- Mechanicsburg, PA
- NPI 1972613305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204156800000",
"number": "1427199389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1790 ELIZA WAY",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170501683",
"telephone_number": "717-728-2883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 STATE AVE",
"city": "CARLISLE",
"state": "PA",
"postal_code": "170134432",
"telephone_number": "717-243-6033",
"fax_number": "717-243-0776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TADAVARTHY",
"first_name": "JYOTHI",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-12",
"last_updated": "2008-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "PA",
"license": "MD041087-E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0019717680001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carlisle, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.