JAYALAKSHMI ATTALURI (NPI# 1245251255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245251255 |
| Entity Type | Individual |
| Full Name | JAYALAKSHMI ATTALURI |
| Credential | MD |
| Practice Address |
765 N Kellogg St Suite 205 Galesburg IL 61401-2875 |
| Practice Telephone | 3093450394 |
| Practice Fax Number | 3093450130 |
| Mailing Telephone | 3093450394 |
| Mailing Fax Number | 3093450130 |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2012-12-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
036074153 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE RAILROAD | 260044754 | 01 |
| IL | 0360741531 | 05 | |
| IL | HEALTH ALLIANCE | 035977 | 01 |
| IL | BCBS PPO | 7215059 | 01 |
| IL | HEALTHLINK | 472292 | 01 |
| Street Address |
765 N KELLOGG ST SUITE 205 |
| City | GALESBURG |
| State | IL |
| Zip Code | 61401-2875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982603502 | Jason T. Grandone | Physical Therapist | 765 N Kellogg St, Galesburg, IL 61401-2875 | 2005-07-15 |
| 1578969812 | Shelby Smith | Physical Therapist | 765 N Kellogg St, 3rd Fl, Galesburg, IL 61401-2875 | 2014-11-14 |
| 1356747166 | Theresa Brokaw | Physical Therapist | 765 N Kellogg St, 3rd Floor, Galesburg, IL 61401-2875 | 2014-11-06 |
| 1194131094 | Tricia L Rodich | Speech-Language Pathologist | 765 N Kellogg St, Suite C, Galesburg, IL 61401-2875 | 2014-07-11 |
| 1104247501 | Cottage Rehabilitation & Sports Medicine LLC | Occupational Therapist | 765 N Kellogg St, 3rd Floor, Galesburg, IL 61401-2875 | 2014-01-02 |
| 1457602849 | Grant R. Swanson | Physical Therapist | 765 N Kellogg St, 3rd Floor, Galesburg, IL 61401-2875 | 2012-09-25 |
| 1922360213 | Erin Mcclure | Physical Therapy Assistant | 765 N Kellogg St, Galesburg, IL 61401-2875 | 2012-06-12 |
| 1467714758 | Rachael Hulick | Physical Therapy Assistant | 765 N Kellogg St, 3rd Floor, Galesburg, IL 61401-2875 | 2012-06-12 |
| 1497076061 | J&s Kelly Galesburg, LLC | Durable Medical Equipment & Medical Supplies | 765 N Kellogg St, Suite 200, Galesburg, IL 61401-2875 | 2010-06-18 |
| 1114197498 | Teresa Sue Lozier | Occupational Therapist | 765 N Kellogg St, 3rd Floor, Galesburg, IL 61401-2875 | 2008-03-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174973 | Jeff Engwall | Pharmacist | 359 Knox Square Drive, Galesburg, IL 61401 | 2020-11-03 |
| 1861962441 | Becky Cameron | Counselor | 2323 Windish Dr., Galesburg, IL 61401 | 2018-11-27 |
| 1295245496 | Aaron Thomas Wachtel | Dentist | 1172 Monroe Street, Galesburg, IL 61401 | 2017-10-03 |
| 1588182224 | Alicia Warren | Speech-Language Pathologist | 932 Harrison St., Galesburg, IL 61401 | 2017-09-01 |
| 1770986770 | Virginia G Kasser | Psychologist | 575 N Kellogg, Galesburg, IL 61401 | 2014-10-03 |
| 1063814309 | Lakshmi Kalyani Gudavalli | Physical Therapist | 275 E Carl Sandburg Drive, Marigold Rehabilitation, Galesburg, IL 61401 | 2014-09-18 |
| 1821350489 | James Eugene Tiller | Psychologist | 2101 Windish Drive, Galesburg, IL 61401 | 2012-06-11 |
| 1720285836 | Donald J. Regnier | Hearing Instrument Specialist | 4l Plaza, Suite 57, Galesburg, IL 61401 | 2007-07-02 |
| 1306066535 | Arnold John Minor | Dentist | 69 N Chambers St, Galesburg, IL 61401 | 2007-04-30 |
| 1114140373 | Community Residential Centers Inc | Intermediate Care Facility, Mentally Retarded | 239 S Cherry Street, Galesburg, IL 61401 | 2007-04-10 |
| Find all providers in zip 61401 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942648191 | Alexis Andres Rojas | Psychiatry & Neurology | 600 S Linwood Rd, Galesburg, IL 61401-9016 | 2013-06-10 |
| 1508939794 | Mohammad Sami | Psychiatry & Neurology | 2323 Windish Drive, Bridgeway Inc, Galesburg, IL 61401 | 2006-11-16 |
| 1841345253 | Todd K Pogue Co Pllc | Psychiatry & Neurology | 2323 Windish Dr, Galesburg, IL 61401-9780 | 2007-01-24 |
| 1245331073 | Philip H Ulm | Psychiatry & Neurology | 3315 N Seminary St, Galesburg, IL 61401-1251 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346840659 | Amelia Mari Merz | Psychiatry & Neurology | 1101 Lake St Ste 201b, Oak Park, IL 60301-1046 | 2020-10-27 |
| 1063024925 | Mindful Psychiatric Care LLC | Psychiatry & Neurology | 120 E Ogden Ave Ste 101, Hinsdale, IL 60521-3892 | 2020-08-20 |
| 1053921296 | Healing Hands Resource Center | Psychiatry & Neurology | 6607 W Main St, Belleville, IL 62223-3025 | 2020-08-03 |
| 1144848086 | Zachary A Kordik Md PC | Psychiatry & Neurology | 25 E Washington St Ste 904, Chicago, IL 60602-1715 | 2020-07-07 |
| 1629694278 | Montes Psychiatric Center, P.C. | Psychiatry & Neurology | 717 Trent Ln, Loves Park, IL 61111-8956 | 2020-06-19 |
| 1659996767 | Bluesky Telepsych | Psychiatry & Neurology | 4753 N Broadway St Ste 910, Chicago, IL 60640-4991 | 2020-06-15 |
| 1164047833 | Advanced Psychiatry Clinics, S.c. | Psychiatry & Neurology | 5519 N Cumberland Ave Ste 1016, Chicago, IL 60656-1480 | 2020-06-09 |
| 1326661802 | Psychmed Clinic Inc | Psychiatry & Neurology | 2159 W Madison St, Chicago, IL 60612-2307 | 2020-05-19 |
| 1467074534 | Holmes Psychiatry LLC | Psychiatry & Neurology | 2027 W Division St # 144, Chicago, IL 60622-9024 | 2020-05-12 |
| 1902434947 | Saadiya Jabbar | Psychiatry & Neurology | Loyola University Medical Center, Building 105, Suite 1940, Maywood, IL 60153 | 2020-03-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.