DR. SHIVKUMAR SHIVAPPA HATTI (NPI# 1841297975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841297975 |
| Entity Type | Individual |
| Full Name | DR. SHIVKUMAR SHIVAPPA HATTI |
| Credential | MD., MBA |
| Practice Address |
107 Chesley Dr Unit 4 Media PA 19063-1760 |
| Practice Telephone | 6108919024 |
| Practice Fax Number | 6108919699 |
| Mailing Telephone | 6108919024 |
| Mailing Fax Number | 6108919699 |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD037729L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 847252 | 05 |
| Street Address |
107 CHESLEY DR UNIT 4 |
| City | MEDIA |
| State | PA |
| Zip Code | 19063-1760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326583477 | Jason Vastardis | Counselor | 107 Chesley Dr, #5, Media, PA 19063-1760 | 2016-12-28 |
| 1659749646 | Paul A Fisher | Counselor | 107 Chesley Dr, Suite 5, Media, PA 19063-1760 | 2015-09-08 |
| 1538550504 | Christina Jane Brochet | Dietitian, Registered | 107 Chesley Dr, Unit #5, Media, PA 19063-1760 | 2015-02-12 |
| 1730570854 | Zachary David Miers | Counselor | 107 Chesley Dr, Unit #5, Media, PA 19063-1760 | 2015-02-11 |
| 1043629579 | Jean-pierre Assouad | Psychologist | 107 Chesley Dr, Unit #5, Media, PA 19063-1760 | 2014-08-08 |
| 1720418528 | Paul J Monahan | Counselor | 107 Chesley Dr, Unit #5, Media, PA 19063-1760 | 2013-11-15 |
| 1629418108 | Jane C Brown | Counselor | 107 Chesley Dr, Unit #5, Media, PA 19063-1760 | 2013-06-28 |
| 1508119561 | Julie J Kimsey-carroll | Counselor | 107 Chesley Dr, Unit #5, Media, PA 19063-1760 | 2012-10-16 |
| 1346500246 | Jennette Rowe | Counselor | 107 Chesley Dr, Unit #5, Media, PA 19063-1760 | 2012-05-24 |
| 1013280924 | Christi C Coakley | Counselor | 107 Chesley Dr, Unit #5, Media, PA 19063-1760 | 2012-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766837 | Kimberly Ann Martyn | Nurse Practitioner | 168 W Baltimore Pike, Media, PA 19063 | 2020-10-08 |
| 1366060220 | Yinka Read | Clinical Neuropsychologist | 1088 W. Baltimore Pike, Healthcare II, Suite 2205, Media, PA 19063 | 2020-07-08 |
| 1306304522 | Caroline Dickerson | Speech-Language Pathologist | 510 Williamson Cir, Media, PA 19063 | 2019-03-06 |
| 1528544178 | Dayeon Cho | Nurse Practitioner | 1400 North Providence Road, Suite 1020, Rose Tree Corporate Center, Building 2, Media, PA 19063 | 2018-07-17 |
| 1235621400 | Joseph Savukinas | Registered Nurse | Mirmont Treatment Center, 100 Yearsley Mill Rd, Media, PA 19063 | 2018-06-04 |
| 1003331281 | Accredited Environmental Technologies, Inc. | Contractor | 28 N. Pennell Road, Media, PA 19063 | 2017-08-08 |
| 1538684220 | Holcomb Associates Inc. | Clinic/Center | 126 East Baltimore Pike, Gayley Square, Media, PA 19063 | 2017-08-03 |
| 1619498334 | Bryan Allen Mizell | Specialist/Technologist | 324 Crestview Circle, Media, PA 19063 | 2017-07-03 |
| 1427597970 | Grow Now Therapy Services LLC. | Speech-Language Pathologist | 600 N Jackson Street, Media, PA 19063 | 2017-02-16 |
| 1720520216 | Kathryn Rauch | Counselor | 107 Chesley Drive Unit #5, Media, PA 19063 | 2016-11-15 |
| Find all providers in zip 19063 | ||||
| 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 |
|---|---|---|---|---|
| 1154707495 | Adam Sagot | Psychiatry & Neurology | 100 W Sixth St Ste 305, Media, PA 19063-2428 | 2015-08-10 |
| 1255643748 | Regina May Showell | Psychiatry & Neurology | 618 S. Old Middletown Road, Media, PA 19063 | 2010-07-13 |
| 1811181696 | Sosunmolu Opememi Shoyinka | Psychiatry & Neurology | 42 E Front Street, Media, PA 19063 | 2007-09-05 |
| 1295955706 | David Todd Springer | Psychiatry & Neurology | 35 Indian Spring Rd, Media, PA 19063-1819 | 2007-04-26 |
| 1265552665 | Patricia Kent | Psychiatry & Neurology | 100 W Sixth St Ste 303, Media, PA 19063-2428 | 2007-03-30 |
| 1649378480 | Valentine Czubaroff | Psychiatry & Neurology | 4 Saddlebrook Circle, Media, PA 19063 | 2006-09-20 |
| 1235164765 | Marian Droba | Psychiatry & Neurology | 2425 N Providence Rd, Media, PA 19063-1812 | 2006-07-12 |
| 1396776969 | Sequoia Behavioral Healthcare LLC | Psychiatry & Neurology | 107 Chelsey Drive, Unit 4, Media, PA 19063 | 2006-07-05 |
| 1982688271 | Raman N Gopalakrishnan | Psychiatry & Neurology | 215 N Olive St, Media, PA 19063-2810 | 2005-12-01 |
| 1114925310 | William J Oberfield | Psychiatry & Neurology | 19 E Second St, Media, PA 19063-2905 | 2005-07-12 |
| Find all providers in MEDIA | ||||
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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.