Organization Active NPI

Sriya Desilva

  • Psychiatry Physician
  • Beaumont, TX
National Provider Identifier
1699967893
Registry record updated Aug 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
F5184 Issued in TX
Legal business name
SRIYA DESILVA
Practice address
85 Interstate 10 N Ste 201
Beaumont, TX 77707-2539
Phone
(409) 899-1696
Fax
(409) 833-1088
NPI assigned
Aug 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2007

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

Authorized official

Name
Mrs. Brandy Guillory
Title
Office Manager
Phone
(409) 899-1696

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X F5184 TX Primary

Addresses

Primary practice location

85 Interstate 10 N Ste 201
Beaumont, TX 77707-2539

Mailing address

85 Interstate 10 N Ste 201
Beaumont, TX 77707-2539
Phone (409) 899-1696

Other identifiers 1

IdentifierTypeStateIssuer
0016LYOtherTXBCBS OF TX

National Provider Directory

National Provider Directory

Locations

85 Interstate 10 N
Ste 201
Beaumont, TX 77707
Phone (409) 899-1696

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": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1699967893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 INTERSTATE 10 N STE 201",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072539",
            "telephone_number": "409-899-1696",
            "fax_number": "409-833-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 INTERSTATE 10 N STE 201",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072539",
            "telephone_number": "409-899-1696",
            "fax_number": "409-833-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRIYA DESILVA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "GUILLORY",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "409-899-1696",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "F5184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX",
            "identifier": "0016LY",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; 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.