Organization Active NPI

Child and Family Psychiatry PLLC

  • Psychiatry Physician
  • Raleigh, NC
National Provider Identifier
1508287822
Registry record updated Jan 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2007-00030 Issued in NC
Legal business name
CHILD AND FAMILY PSYCHIATRY PLLC
Doing business as
Hima Palakurthi
Practice address
8300 Health Park
201
Raleigh, NC 27615-4730
Phone
(919) 414-1334
Fax
(919) 676-9946
NPI assigned
Jan 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2014

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

Authorized official

Name
Hima Palakurthi, M.D.,NPI 1346397833
Title
Member/Manager
Phone
(919) 414-1334

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 2007-00030 NC Primary

Addresses

Primary practice location

8300 Health Park
201
Raleigh, NC 27615-4730

Mailing address

5904 Norwood Knolls Way
Raleigh, NC 27614-8296
Phone (919) 414-1334

Other identifiers 1

IdentifierTypeStateIssuer
5905884MedicaidNC

Other names 1

  • Hima Palakurthi Doing business as

National Provider Directory

National Provider Directory

Locations

8300 Health Park
Ste 201
Raleigh, NC 27615
Phone (919) 675-2259

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1388880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388880000000",
    "number": "1508287822",
    "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": "919-676-9946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 HEALTH PARK",
            "address_2": "201",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276154730",
            "telephone_number": "919-414-1334",
            "fax_number": "919-676-9946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD AND FAMILY PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-05",
        "last_updated": "2014-01-05",
        "status": "A",
        "authorized_official_last_name": "PALAKURTHI",
        "authorized_official_first_name": "HIMA",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "919-414-1334",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2007-00030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5905884",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hima Palakurthi",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 5, 2014; 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.