NPIMap

Organization Active NPI

Nukala R Reddy

  • Psychiatry Physician
  • Barberton, OH
National Provider Identifier
1689836900
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35042637 Issued in OH
Legal business name
NUKALA R REDDY
Practice address
480 W Tuscarawas Ave Ste 203
Barberton, OH 44203-2581
Phone
(330) 745-2942
Fax
(330) 745-0950
NPI assigned
Jun 27, 2008
Last updated
Jun 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Authorized official

Name
Nukala R Reddy, M.D.NPI 1033161922
Title
Owner
Phone
(330) 745-2942

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 35042637 OH Primary

Addresses

Primary practice location

480 W Tuscarawas Ave Ste 203
Barberton, OH 44203-2581

Mailing address

480 W Tuscarawas Ave Ste 203
Barberton, OH 44203-2581
Phone (330) 745-2942

Other identifiers 1

IdentifierTypeStateIssuer
0413485MedicaidOH

National Provider Directory

National Provider Directory

Locations

480 W Tuscarawas Ave
Ste 203
Barberton, OH 44203
Phone (330) 745-2942

Practitioners & affiliated clinicians

Practitioners 1

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": "1214524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1689836900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 W TUSCARAWAS AVE STE 203",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442032581",
            "telephone_number": "330-745-2942",
            "fax_number": "330-745-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 W TUSCARAWAS AVE STE 203",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442032581",
            "telephone_number": "330-745-2942",
            "fax_number": "330-745-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUKALA R REDDY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-27",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "NUKALA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-745-2942",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35042637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0413485",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barberton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.