Springfield Psychiatric Associates Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

35063060 Issued in OH

Legal business name

SPRINGFIELD PSYCHIATRIC ASSOCIATES INC

Practice address

3162 El Camino Dr
Springfield, OH 45503-1318

Phone

(937) 342-9030

Fax

(937) 342-9039

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Pramila Vellanki

Title

Office Manager

Phone

(937) 342-9030

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Springfield Psychiatric Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Fralick

  • Professional Counselor
  • Dayton, OH
  • NPI 1548251325
  Medicare reassignment Care Compare group NPD
• Curtis Gillespie

  • Clinical Social Worker
  • Springfield, OH
  • NPI 1134110117
  Medicare reassignment Care Compare group NPD
• Lalith K Misra, DO PHD

  • Psychiatry Physician
  • Marion, OH
  • NPI 1730130626
  Medicare reassignment Care Compare group NPD
• Michael Francis Schwaiger, LISW

  • Clinical Social Worker
  • Springfield, OH
  • NPI 1336209584
  Medicare reassignment Care Compare group NPD
• Umamaheswara Rao Vellanki, M.D

  • Psychiatry Physician
  • Springfield, OH
  • NPI 1083785158
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1962541375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3162 EL CAMINO DR",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455031318",
            "telephone_number": "937-342-9030",
            "fax_number": "937-342-9039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3162 EL CAMINO DR",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455031318",
            "telephone_number": "937-342-9030",
            "fax_number": "937-342-9039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD PSYCHIATRIC ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "VELLANKI",
        "authorized_official_first_name": "PRAMILA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "937-342-9030"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.0002982",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0002982",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35063060",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OH",
            "license": "35063060",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "9341501",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Springfield Psychiatric Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Springfield Psychiatric Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychiatry Physician in Springfield, OH
• Providers in Springfield, OH by specialty
• Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.