Active NPI
Shamrock Psychiatric Clinic P a
- Psychiatry Physician
- Houston, TX
National Provider Identifier
1891985271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- F3588
- Legal business name
- SHAMROCK PSYCHIATRIC CLINIC P A
- Practice address
- 6420 Hillcroft St
411
Houston, TX 77081-3190 - Phone
- (713) 988-9911
- Fax
- (713) 995-4205
- NPI assigned
- Jul 31, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Guruswami K Ravichandran, M.D.
- Title
- Manager
- Phone
- (713) 988-9911
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | F3588 | TX | Primary |
Addresses
Primary practice location
6420 Hillcroft St
411
Houston, TX 77081-3190
Mailing address
6420 Hillcroft St
411
Houston, TX 77081-3190
Phone (713) 988-9911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 082622401 | Medicaid | TX |
Other names 1
- Shamrock Psychiatric Clinic
National Provider Directory
National Provider DirectoryLocations
6420 Hillcroft Ave
Ste 411
Houston, TX 77081
Phone (281) 698-0209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1488844800000",
"number": "1891985271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6420 HILLCROFT ST",
"address_2": "411",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770813190",
"telephone_number": "713-988-9911",
"fax_number": "713-995-4205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6420 HILLCROFT ST",
"address_2": "411",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770813190",
"telephone_number": "713-988-9911",
"fax_number": "713-995-4205"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHAMROCK PSYCHIATRIC CLINIC P A",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-31",
"last_updated": "2017-03-07",
"status": "A",
"authorized_official_last_name": "RAVICHANDRAN",
"authorized_official_first_name": "GURUSWAMI",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "713-988-9911",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "F3588",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "082622401",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Shamrock Psychiatric Clinic",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.