Active NPI
Rajeev Srivastava, MD
- Child & Adolescent Psychiatry Physician
- Salisbury, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 0101256609
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C176037 | CA | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Middle Peninsula Northern Neck Mental Health & Retardation | Current | Accepting new patients | |
| Middle Peninsula-Northern Neck Mental Health and Mental Retardation | Current | Accepting new patients | |
| Tidalhealth Specialty Care, LLC | Current | Accepting new patients | |
| TBD Acquisition II LLC | Current | Accepting new patients | |
| TBD Acquisition II, LLC | Current | 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.
-
- Medical Specialty Clinic/Center
- Salisbury, MD
- NPI 1619504735
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Gloucester, VA
- NPI 1497717615
-
- Psychiatric Hospital
- Gulfport, MS
- NPI 1750891792
-
- Community/Behavioral Health Agency
- Hampton, VA
- NPI 1659424448
-
- Speech-Language Pathologist
- Urbanna, VA
- NPI 1992879282
-
- Clinical Social Worker
- Gulfport, MS
- NPI 1003324419
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.