Individual provider Active NPI

Rajeev Srivastava, MD

  • Child & Adolescent Psychiatry Physician
  • Salisbury, MD
National Provider Identifier
1437489770
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
0101256609 Issued in VA
Practice address
100 E Carroll St
Salisbury, MD 21801-5422
Phone
(410) 546-6400
NPI assigned
Jan 8, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X C176037 CA
Child & Adolescent Psychiatry Physician 2084P0804X 0101256609 VA Primary
Child & Adolescent Psychiatry Physician 2084P0804X D93495 MD

Addresses

Primary practice location

100 E Carroll St
Salisbury, MD 21801-5422

Mailing address

600
Med Dr
Hampton, VA 23666
Phone (757) 788-0627

Other practice location 1

200 E Vine St
Salisbury, MD 21804-5531
Phone (410) 543-7119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, VA, MD3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20130923000663 MS Practitioner - Psychiatry 6608010145 Reassigns benefits to 1 organization
I20150123000683 VA Practitioner - Psychiatry 6608010145 Reassigns benefits to 2 organizations
I20220502000908 MD Practitioner - Neuropsychiatry 6608010145 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C176037CAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Middle Peninsula Northern Neck Mental Health & Retardation CurrentSince Nov 3, 2016 Accepting new patients
Middle Peninsula-Northern Neck Mental Health and Mental Retardation CurrentSince Nov 3, 2016 Accepting new patients
Tidalhealth Specialty Care, LLC CurrentSince May 1, 2022 Accepting new patients
TBD Acquisition II LLC CurrentSince Jul 29, 2019 Accepting new patients
TBD Acquisition II, LLC CurrentSince Jul 29, 2019 Accepting new patients

Locations

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

11150 Highway 49
Gulfport, MS 39503
Phone (228) 575-1000

9228 George Washington Memorial Hwy
Gloucester, VA 23061
Phone (804) 693-5057

1041 Sharon Rd
Ste 201
King William, VA 23086
Phone (804) 769-2751

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1437489770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600",
            "address_2": "MED DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "23666",
            "telephone_number": "757-788-0627",
            "fax_number": "757-788-0934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E CARROLL ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015422",
            "telephone_number": "410-546-6400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 E Vine St",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "MD",
            "postal_code": "218045531",
            "country_code": "US",
            "telephone_number": "410-543-7119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SRIVASTAVA",
        "first_name": "RAJEEV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-08",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "C176037",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "VA",
            "license": "0101256609",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MD",
            "license": "D93495",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.