DR. ROOPA KYATHANAHALLY SIDDABASAPPA (NPI# 1386815090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386815090 |
| Entity Type | Individual |
| Full Name | DR. ROOPA KYATHANAHALLY SIDDABASAPPA |
| Credential | M.D. |
| Practice Address |
175 Bernal Rd 1st Floor - Suite 140 San Jose CA 95119-1343 |
| Mailing Address |
6620 Via Del Oro San Jose CA 95119-1392 |
| Practice Telephone | 4089723099 |
| Mailing Telephone | 4083602300 |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2015-09-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A101644 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
175 BERNAL RD 1ST FLOOR - SUITE 140 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95119-1343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942391669 | Hieu Ngoc Dang | Dentist | 175 Bernal Rd, Suite #260, San Jose, CA 95119-1343 | 2006-09-27 |
| 1730564782 | Dang & Del Carmen, Dds, Inc | Dentist | 175 Bernal Rd, Suite #260, San Jose, CA 95119-1343 | 2015-07-20 |
| 1528450830 | Hieu N. Dang, Dds, Inc. | Dentist | 175 Bernal Rd, Suite #260, San Jose, CA 95119-1343 | 2015-02-24 |
| 1013100288 | Brooke Baxter | Psychologist | 175 Bernal Rd, Suite 230, San Jose, CA 95119-1343 | 2007-08-22 |
| 1538382882 | Marina Albine Boliaris | Marriage & Family Therapist | 175 Bernal Rd, 140, San Jose, CA 95119-1343 | 2007-04-11 |
| 1023139649 | Marli Diniz | Marriage & Family Therapist | 175 Bernal Rd, San Jose, CA 95119-1343 | 2007-04-02 |
| 1700938875 | Thomas Crawford | Psychologist | 175 Bernal Rd, Ste 230, San Jose, CA 95119-1343 | 2007-01-17 |
| 1679623599 | Robert R Hardy | Psychologist | 175 Bernal Rd, Suite 140, San Jose, CA 95119-1343 | 2007-01-11 |
| 1932259082 | Lai Yin Goretti Lo | Social Worker | 175 Bernal Rd, Suite 140, San Jose, CA 95119-1343 | 2007-01-11 |
| 1881744274 | Lola Ann Whiteley-bruton | Marriage & Family Therapist | 175 Bernal Rd, Suite # 230, San Jose, CA 95119-1343 | 2007-01-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922623594 | Julia Angelina Rojas | Rehabilitation Counselor | 298 A Bernal Rd, San Jose, CA 95119 | 2020-06-10 |
| 1609496215 | Kaiser Foundation Hospitals | Pharmacy | 274 International Cir Fl 1 Rm 104, San Jose, CA 95119 | 2020-04-23 |
| 1104451194 | Arthur Warren Hall | Counselor | 298 A Bernal Road, San Jose, CA 95119 | 2020-03-10 |
| 1992264774 | Jennifer Luu | Student in an Organized Health Care Education/Training Program | 276 International Circle Building, 1 - 2nd Floor - Family Medicine Residency Unit G, San Jose, CA 95119 | 2019-03-19 |
| 1194209510 | Victoria Marques | Pharmacist | 275 Hospital Parkway, Suite 625, San Jose, CA 95119 | 2018-09-21 |
| 1780123497 | Costco Wholesale Corporation | Hearing Aid Equipment | 6898 Raleigh Road, San Jose, CA 95119 | 2017-02-14 |
| 1437563855 | Mark Douglas Zukunft | Emergency Medicine | 250 Hospital Pkwy Dept Of, San Jose, CA 95119 | 2014-06-13 |
| 1669896338 | Paul J. Zuchowski Chiropractic, A Professional Corporation | Chiropractor | 6950 Santa Teresa Blvd., Ste.a, San Jose, CA 95119 | 2014-02-14 |
| 1700227873 | Yu-chien Cheng | Internal Medicine | 275 Hospital Pkwy Ste 600, San Jose, CA 95119 | 2013-07-17 |
| 1730432014 | Tami Otomo | Pharmacist | 6201 San Ignacio Ave, San Jose, CA 95119 | 2012-10-24 |
| Find all providers in zip 95119 | ||||
| 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] |
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|---|---|---|---|---|
| 1295343366 | Bluesky Telepsych, Inc. | Psychiatry & Neurology | 177 Park Ave, San Jose, CA 95113-2259 | 2020-07-15 |
| 1255954145 | Strive Psychiatric Services Inc. | Psychiatry & Neurology | 2570 N 1st St Fl 2, San Jose, CA 95131-1035 | 2020-05-26 |
| 1891293007 | Norman Reynolds | Psychiatry & Neurology | 1730 Hamilton Ave, San Jose, CA 95125-5424 | 2018-01-23 |
| 1861900367 | Golden Gate Psychiatry Associates | Psychiatry & Neurology | 2570 N 1st St Ste 216, San Jose, CA 95131-1035 | 2018-01-18 |
| 1114314846 | Jennifer Atienza Duyanen | Psychiatry & Neurology | 2150 N 1st St Ste 650, San Jose, CA 95131-2031 | 2015-04-21 |
| 1245596329 | Honor Hsin | Psychiatry & Neurology | 5755 Cottle Rd Bldg 24, San Jose, CA 95123-3640 | 2012-04-03 |
| 1124397708 | Beeta Verma | Psychiatry & Neurology | 6120 Hellyer Ave, San Jose, CA 95138-1065 | 2011-12-28 |
| 1093006983 | Yang Xu | Psychiatry & Neurology | 1530 The Alameda, Suite 315, San Jose, CA 95126-2303 | 2011-04-26 |
| 1326277567 | Samer Salmo | Psychiatry & Neurology | 1530 The Alameda Ste 315, San Jose, CA 95126-2303 | 2009-07-09 |
| 1881821791 | Suzanna Lynn Freerksen | Psychiatry & Neurology | 913 Willow St Ste 103, San Jose, CA 95125-2380 | 2009-06-18 |
| Find all providers in SAN JOSE | ||||
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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.