VIJAY JAMPALA (NPI# 1316920887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316920887 |
| Entity Type | Individual |
| Full Name | VIJAY JAMPALA |
| Credential | MD |
| Practice Address |
2407 S Clear Creek Rd Killeen TX 76549 |
| Mailing Address |
Po Box 938 Killeen TX 76540-0938 |
| Practice Telephone | 2546280246 |
| Practice Fax Number | 2542004090 |
| Mailing Telephone | 2546346999 |
| Mailing Fax Number | 2542004099 |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2008-07-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
H4970 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | SUPERIOR HEALTH CHIPS | 097895901 | 01 |
| TX | HUMANA/MILITARY-TRICARE | 742533636 | 01 |
| TX | MEDICARE RAILROAD | P00080993 | 01 |
| TX | SCOTT & WHITE HEALTH | 90017 | 01 |
| TX | 097895901 | 05 | |
| TX | BLUE CROSS BLUE SHIELD | 00D65L | 01 |
| Street Address |
2407 S CLEAR CREEK RD |
| City | KILLEEN |
| State | TX |
| Zip Code | 76549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376973321 | Timothy J Daheim Pa | Psychologist | 2407 S Clear Creek Rd, Killeen, TX 76549-5721 | 2013-11-12 |
| 1164763835 | Jampala Psychiatric Associates, P.a. | Psychiatry & Neurology | 2407 S Clear Creek Rd, Killeen, TX 76549-5721 | 2013-03-06 |
| 1942387915 | Maria Isabel Zapata-vega | Psychiatry & Neurology | 2407 S Clear Creek Rd, Killeen, TX 76549-4110 | 2006-11-01 |
| 1437176955 | Timothy Joseph Daheim | Psychologist | 2407 S Clear Creek Rd, Killeen, TX 76549-5721 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023630191 | Joy Angolo | Registered Nurse | 1403 Chips Drive, Unit A, Killeen, TX 76549 | 2020-05-12 |
| 1215587308 | Jacqueline Nicole Estrella | Nurse Practitioner | Med Options Killeen Nursing Homes, Kileen, TX 76549 | 2019-09-19 |
| 1366924052 | Barbara Ann Vaughn | Licensed Vocational Nurse | 413 Apt A Study Hall Loop, Killeen, TX 76549 | 2018-08-30 |
| 1124505359 | Carl R Darnall Army Medical Center | Clinic/Center | 5200 Bunny Trail, Killeen, TX 76549 | 2018-07-20 |
| 1518456961 | Robert Brott | Counselor | 1103west Stan Schuleter Loop, Building A, Suite 100, Killeen, TX 76549 | 2018-05-01 |
| 1922507417 | Family Endeavors, Inc. | Community/Behavioral Health | 1103 West Stan Schlueter Loop, Building A Suite 100, Killeen, TX 76549 | 2018-02-09 |
| 1285143859 | Jennifer Dawn Rothman | Behavioral Analyst | 4506 The Searchers Dr, Killeen, TX 76549 | 2017-09-26 |
| 1700307964 | City of Ennis | Skilled Nursing Facility | 5000 Thayer Dr, Killeen, TX 76549 | 2017-06-28 |
| 1790216190 | Neysa Stegmeyer | Nurse Practitioner | 4102 S. Clear Creek Road, Ste 107, Killeen, TX 76549 | 2017-03-27 |
| 1740721471 | Lspd At Killeen, Pllc | Dentist | 1103 West Stan Schlueter Loop Suite B-800, Killeen, TX 76549 | 2017-03-14 |
| Find all providers in zip 76549 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164763835 | Jampala Psychiatric Associates, P.a. | Psychiatry & Neurology | 2407 S Clear Creek Rd, Killeen, TX 76549-5721 | 2013-03-06 |
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|---|---|---|---|---|
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| 1073131686 | Nishan D. Adihetty Md, Pllc | Psychiatry & Neurology | 2219 Sawdust Rd Ste 1004, Spring, TX 77380-2580 | 2020-07-09 |
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| 1942839113 | Fort Physicians & Professionals Pllc | Psychiatry & Neurology | 7140 Oakmont Boulevard, Fort Worth, TX 76132 | 2020-04-08 |
| 1720613532 | Ferruzzi Psychiatric Services, Pllc | Psychiatry & Neurology | 13409 Nw Military Hwy Ste 310, Shavano Park, TX 78231-1865 | 2020-03-12 |
| 1184276818 | Cesar Alejandro Soutullo Esperon | Psychiatry & Neurology | Ut Health, Department of Psychiatry, 1941 East Road, Houston, TX 77054-6010 | 2019-07-12 |
| 1881255594 | Aditya Sharma, Pllc | Psychiatry & Neurology | 4510 Medical Center Dr Ste 208, Mckinney, TX 75069-1602 | 2019-06-24 |
| 1154851590 | Stat Md Pllc | Psychiatry & Neurology | 2710 Sunset Strip Ste C, Greenville, TX 75402-3848 | 2017-06-18 |
| 1336693043 | Cognitive Psychiatry Pa | Psychiatry & Neurology | 1029 Highway 6 N, Ste 650-181, Houston, TX 77079-1043 | 2016-08-10 |
| Find all providers with the same taxonomy | ||||
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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.