Active NPI
Hemalatha Mukhara, MD
- Child & Adolescent Psychiatry Physician
- Manassas, VA
National Provider Identifier
1770563611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 0101241532
- Practice address
- 8680 Hospital Way
Manassas, VA 20110-4287 - Phone
- (703) 369-8055
- Fax
- (703) 369-8565
- NPI assigned
- Jan 18, 2006
- Last updated
- May 13, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 0101241532 | VA | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 0101241532 | VA | Primary |
Addresses
Primary practice location
8680 Hospital Way
Manassas, VA 20110-4287
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (703) 369-8055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770563611 | Medicaid | VA |
Other names 1
- Mrs. Hemalatha Narasimhalu
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101241532 | VA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Harris Center for Mental Health and Idd | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Houston, TX
- NPI 1346293156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431475200000",
"number": "1770563611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447",
"telephone_number": "703-369-8055",
"fax_number": "703-369-8565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8680 HOSPITAL WAY",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201104287",
"telephone_number": "703-369-8055",
"fax_number": "703-369-8565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUKHARA",
"first_name": "HEMALATHA",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-18",
"last_updated": "2015-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101241532",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "VA",
"license": "0101241532",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1770563611",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HEMALATHA",
"last_name": "NARASIMHALU",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.