NPIMap

Organization Active NPI

Achutha N. Reddy, M.D., P. a.

Doing business as Holistic Psychiatric Services

  • Psychiatry Physician
  • Wichita, KS
National Provider Identifier
1780800326
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
04-28376 Issued in KS
Legal business name
ACHUTHA N. REDDY, M.D., P. A.
Doing business as
Holistic Psychiatric Services
Practice address
1871 W 21St St N
Wichita, KS 67203-2104
Phone
(316) 832-0277
Fax
(316) 838-5658
NPI assigned
Apr 18, 2007
Last updated
Apr 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2012

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

Authorized official

Name
Dr. Achutha Nagireddy Reddy, M.D.
Title
Owner
Phone
(316) 832-0277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 04-28376 KS Primary

Addresses

Primary practice location

1871 W 21St St N
Wichita, KS 67203-2104

Mailing address

1871 W 21St St N
Wichita, KS 67203-2104
Phone (316) 832-0277

Other identifiers 1

IdentifierTypeStateIssuer
100427030DMedicaidKS

Other names 1

  • Holistic Psychiatric Services Doing business as

National Provider Directory

National Provider Directory

Locations

1871 W 21st St N
Wichita, KS 67203
Phone (316) 832-0277

1883 W 21st St N
Wichita, KS 67203
Phone (316) 263-8848

625 N Carriage Pkwy
Ste 105
Wichita, KS 67208
Phone (316) 832-0277

Practitioners & affiliated clinicians

Practitioners 6

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": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333497600000",
    "number": "1780800326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1871 W 21ST ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672032104",
            "telephone_number": "316-832-0277",
            "fax_number": "316-838-5658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1871 W 21ST ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672032104",
            "telephone_number": "316-832-0277",
            "fax_number": "316-838-5658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHUTHA N. REDDY, M.D., P. A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2012-04-04",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "ACHUTHA",
        "authorized_official_middle_name": "NAGIREDDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-832-0277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "04-28376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100427030D",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holistic Psychiatric Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.