GOLLAVELLI JYOTHI KRISHNA (NPI# 1871754036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871754036 |
| Entity Type | Individual |
| Full Name | GOLLAVELLI JYOTHI KRISHNA |
| Credential | MD |
| Practice Address |
208 Oak Dr S Suite 700 Lake Jackson TX 77566-5790 |
| Practice Telephone | 9792304852 |
| Practice Fax Number | 9792304863 |
| Mailing Telephone | 9792304852 |
| Mailing Fax Number | 9792304863 |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2016-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
P1190 | TX | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
193726 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01688384 | 05 |
| Street Address |
208 OAK DR S SUITE 700 |
| City | LAKE JACKSON |
| State | TX |
| Zip Code | 77566-5790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326044777 | Roland Prezas | Family Medicine | 208 Oak Dr S, Suite 200, Lake Jackson, TX 77566-5790 | 2005-06-21 |
| 1679026926 | Chelsea L. Thomas | Psychologist | 208 Oak Dr S, Lake Jackson, TX 77566-5790 | 2016-08-03 |
| 1649695909 | Barbara De Oliveira | Nurse Practitioner | 208 Oak Dr S, Lake Jackson, TX 77566-5790 | 2014-02-24 |
| 1952741084 | Jennifer L Kucera | Nurse Practitioner | 208 Oak Dr S, 200, Lake Jackson, TX 77566-5790 | 2013-07-03 |
| 1134562598 | Mitesh Mahesh Patel | Family Medicine | 208 Oak Dr S, Suite 200, Lake Jackson, TX 77566-5790 | 2013-04-16 |
| 1457625345 | Tamria Denise Blackley | Specialist | 208 Oak Dr S, 400a, Lake Jackson, TX 77566-5790 | 2012-02-24 |
| 1902186000 | Houston Vamc | Clinic/Center | 208 Oak Dr S, Lake Jackson, TX 77566-5790 | 2011-08-19 |
| 1174751564 | Options Urgent Care & Wellness Center LLC | Clinic/Center | 208 Oak Dr S, Suite 502, Lake Jackson, TX 77566-5790 | 2009-06-24 |
| 1073704268 | Loni Lynn Shepherd | Pediatrics | 208 Oak Dr S, Suite 400, Lake Jackson, TX 77566-5790 | 2007-08-05 |
| 1922127075 | Shamim Patni | Family Medicine | 208 Oak Dr S, Suite 700, Lake Jackson, TX 77566-5790 | 2007-03-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588271746 | Daniel Kent | Pharmacist | 121 Tx-332 W, Lake Jackson, TX 77566 | 2020-09-30 |
| 1134692403 | Gulf Coast Gastroenterology Lab | Clinical Medical Laboratory | 219 Oak Drive South, Suite A, Lake Jackson, TX 77566 | 2019-01-09 |
| 1194266288 | Kaitlin Dingee | Nurse Practitioner | 208 Oak Dr S Ste 502, Lake Jackson, TX 77566 | 2017-03-09 |
| 1326581935 | Nec Lake Jackson Emergency Center, Lp | Clinic/Center | 103 Winding Way, Lake Jackson, TX 77566 | 2016-11-30 |
| 1548618911 | Sara Eddy | Counselor | 109 Circle Way, Lake Jackson, TX 77566 | 2016-05-26 |
| 1689020158 | Baker Chiropractic Center Pllc | Chiropractor | 100-a Plantation Drive, Lake Jackson, TX 77566 | 2016-05-13 |
| 1326409368 | Janet Chen | Pharmacist | 131 Oyster Creek Dr., Lake Jackson, TX 77566 | 2016-03-18 |
| 1164819488 | Eco Dental Care, Pllc | Dentist | 210 Lake Rd, Ste 800 A, Lake Jackson, TX 77566 | 2015-04-24 |
| 1730578196 | Anna Katherine Tucker | Occupational Therapy Assistant | 1052 Cardinal Dr, Richwood, TX 77566 | 2015-01-22 |
| 1306243035 | H-e-b, Lp | Clinical Medical Laboratory | 97 Oyster Creek Drive, Lake Jackson, TX 77566 | 2014-11-24 |
| Find all providers in zip 77566 | ||||
| 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 |
|---|---|---|---|---|
| 1205181724 | Kenneth Oghale Osiezagha | Psychiatry & Neurology | 201 Oak Dr S Ste 102, Lake Jackson, TX 77566-5626 | 2012-07-20 |
| 1295031979 | Brazosport Psychiatric Clinic | Psychiatry & Neurology | 52 Flag Lake Plz, Lake Jackson, TX 77566-6263 | 2011-01-28 |
| 1124221304 | Rakesh Jain | Psychiatry & Neurology | 461 This Way St, Lake Jackson, TX 77566-5143 | 2007-06-06 |
| 1265089296 | Firstpoint Psychiatry, Pllc | Psychiatry & Neurology | 201 Oak Dr S Ste 102, Lake Jackson, TX 77566-5626 | 2019-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750997920 | Pearland Psychiatric Associates Pllc | Psychiatry & Neurology | 2743 Smith Ranch Rd Unit 101, Pearland, TX 77584-5205 | 2020-09-22 |
| 1821604364 | Mindful Brain Health Pllc | Psychiatry & Neurology | 4012 Hoyer Cv, Round Rock, TX 78681-1045 | 2020-09-21 |
| 1013523604 | Stephen Oravec | Psychiatry & Neurology | 952 Danny Sanchez Pl, Anthony, TX 79821-7365 | 2020-09-18 |
| 1063028884 | West Texas Tms Pllc | Psychiatry & Neurology | 4601 Buffalo Gap Rd Ste B3, Abilene, TX 79606-3362 | 2020-09-17 |
| 1386267466 | Sharon Marjorie Tomlinson | Psychiatry & Neurology | 705 Bray Central Dr Apt 9306, Allen, TX 75013-6377 | 2020-05-22 |
| 1821610528 | Dr Erum Psychiatry, Pllc | Psychiatry & Neurology | 2425 N Central Expy Ste 700, Richardson, TX 75080-2860 | 2020-05-15 |
| 1366062358 | Luckhart Psychiatry, Pllc | Psychiatry & Neurology | 7100 Boulevard 26 Ste 101, Richland Hills, TX 76180-8687 | 2020-04-20 |
| 1093334104 | Phoenix Mental Health Tms | Psychiatry & Neurology | 19707 Ih 10 W Ste 314, San Antonio, TX 78257-1746 | 2020-04-09 |
| 1104445220 | Neogen Mental Health and Behavioral Services, Pa. | Psychiatry & Neurology | 2141 Kirkwood Blvd Ste 130, Southlake, TX 76092-1464 | 2020-04-09 |
| 1154950459 | Compass Psychiatry Solutions | Psychiatry & Neurology | 2026 Wirt Rd Fl 2, Houston, TX 77055-1626 | 2020-04-07 |
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| City | LAKE JACKSON |
| Zip Code | 77566 |
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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.