Organization Active NPI

Shamrock Psychiatric Clinic P a

  • Psychiatry Physician
  • Houston, TX
National Provider Identifier
1891985271
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
F3588 Issued in TX
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

Updated by the provider on Mar 7, 2017

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
082622401MedicaidTX

Other names 1

  • Shamrock Psychiatric Clinic Other name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.