Sr Psychiatric LTD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

SR PSYCHIATRIC LTD

Practice address

3510 Hobson Rd
Suite 305
Woodridge, IL 60517-1439

Phone

(630) 515-1050

Fax

(630) 515-1051

NPI assigned

Oct 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Nagamani P Reddy, MDNPI 1912978081

Title

Physician

Phone

(630) 515-1050

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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

• Nagamani P Reddy, MD

  • Child & Adolescent Psychiatry Physician
  • Woodridge, IL
  • NPI 1912978081
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1548346174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 HOBSON RD STE 305",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171442",
            "telephone_number": "630-515-1050",
            "fax_number": "630-515-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 HOBSON RD",
            "address_2": "SUITE 305",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171439",
            "telephone_number": "630-515-1050",
            "fax_number": "630-515-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SR PSYCHIATRIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "NAGAMANI",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "630-515-1050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036075583",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kelly Denise Sornson, OTR/L
• Speech and Me
• Samantha Sperlak, LCPC
• Rouzan H. Srour, PHARMD
• St. Joseph Assyla Home Health Care, Inc.
• Kaitlyn Nicole Staisiunas, OTR
• Oliver Stanescu, PHARM.D.
• Taylor Stang

• Psychiatry Physician in Woodridge, IL
• Providers in Woodridge, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.