Organization Active NPI

The Center for Child and Family Psychiatry, PC

  • Psychiatry Physician
  • Killeen, TX
National Provider Identifier
1659012839
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
THE CENTER FOR CHILD AND FAMILY PSYCHIATRY, PC
Practice address
1103 N Gray St
Killeen, TX 76541-3420
Phone
(254) 774-1163
Fax
(833) 464-5455
NPI assigned
Apr 5, 2022
Last updated
Mar 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Authorized official

Name
Andrey Shalomov, MD, MPHNPI 1750813499
Title
Ceo
Phone
(254) 774-1163

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Primary
Child & Adolescent Psychiatry Physician 2084P0804X

Addresses

Primary practice location

1103 N Gray St
Killeen, TX 76541-3420

Mailing address

1103 N Gray St
Killeen, TX 76541-3420
Phone (254) 774-1163

Other names 1

  • The Center For Child and Family Psychiatry, PC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220527002219 TX Part B Supplier - Clinic/Group Practice 0941688204 Receives reassigned benefits from 1 practitioner
Practice locations: Killeen, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2325891The Center for Child and Family Psychiatry, PC1103 N Gray St., Killeen, TX 76541Certificate of waiverJun 22, 2027

National Provider Directory

National Provider Directory

Locations

1103 N Gray St
Killeen, TX 76541
Phone (254) 774-1163

300 N 10th St
Killeen, TX 76541

300 N 10th St
Unit 11
Killeen, TX 76540

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772668800000",
    "number": "1659012839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 N GRAY ST",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765413420",
            "telephone_number": "254-774-1163",
            "fax_number": "833-464-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 N GRAY ST",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765413420",
            "telephone_number": "254-774-1163",
            "fax_number": "833-464-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR CHILD AND FAMILY PSYCHIATRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A",
        "authorized_official_last_name": "SHALOMOV",
        "authorized_official_first_name": "ANDREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "254-774-1163",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Center For Child and Family Psychiatry, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "The Center For Child and Family Psychiatry, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.