Varsha V Kunnirickal, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

301708-01 Issued in NY

Practice address

515 S Main St
New City, NY 10956-3037

Phone

(240) 475-6817

NPI assigned

Jun 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 11, 2017 through Oct 11, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Total Wellness

  • Counselor
  • Baltimore, MD
  • NPI 1629353719
  NPD (past) Authorized official
• Psych Associates of Maryland LLC

  dba Bloom Health Centers

  • Psychologist
  • Timonium, MD
  • NPI 1891721981

  Psychiatry

  NPD (past)

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1598703134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 E 64TH ST APT 1001",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657463",
            "telephone_number": "240-475-6817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 S MAIN ST",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109563037",
            "telephone_number": "240-475-6817"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "723 SOUTH CHARLES ST",
            "address_2": "SUITE103",
            "address_purpose": "LOCATION",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212307516",
            "country_code": "US",
            "telephone_number": "240-475-6817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUNNIRICKAL",
        "first_name": "VARSHA",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D50646",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "301708-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "363400100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aidel Kranz, M.S. SPED
• Orlee Elizabeth Krass
• Richard J. Kubik, MD
• Olga Kuhta
• Helena Jasna Kukla, MD
• Barbara Kunz, RN
• Priya Kurians
• Michelle L Kuryllo
• Yumi Kwon
• Jayne Kyambadde

• Psychiatry Physician in New City, NY
• Providers in New City, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.