SIDDESH GOPALAKRISHNAN MD
NPI 1053974071
Psychiatry & Neurology - Child & Adolescent Psychiatry in Union, NJ

Q: What is Siddesh Gopalakrishnan's NPI number?

The NPI number for Siddesh Gopalakrishnan is 1053974071. It was assigned to this individual provider in the NPPES registry on April 16, 2019.

Q: What is Siddesh Gopalakrishnan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Active since April 16, 2019PECOS Enrolled

2840 MORRIS AVE, UNION, NJ 07083(888) 244-5373 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 9, 2023, Apr 16, 2019 (2 updates tracked since 2019).

On this page

About Siddesh Gopalakrishnan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SIDDESH GOPALAKRISHNAN MD (NPI 1053974071) is an individual child & adolescent psychiatry provider in Union, New Jersey, licensed in New Jersey (25MA12442600) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Orange.

NPPES Registry Identity

NPI1053974071

Entity TypeIndividualMale

Primary Taxonomy2084P0804X

Provider Legal NameSIDDESH GOPALAKRISHNANCredential: MD

Location Address2840 MORRIS AVEUnion, NJ 07083-4851

Mailing Address2840 Morris AveUnion, NJ 07083-4851 · (888) 244-5373

Phone(888) 244-5373

Sole ProprietorNo

Enumeration DateApril 16, 2019

Last NPPES UpdateOctober 23, 20242 updates tracked since enumeration

NPPES CertifiedOctober 23, 2024

✔ NPI 1053974071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in NJ · 25MA12442600

Definition

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.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 182572 (CA), 25MA12442600 (NJ)

2840 MORRIS AVE, Union, NJ 07083

Open in Google Maps ↗

Secondary Practice Location 1

Location 1University of California Irvine Medical Center, 101 The City Dr SOrange, CA 92858 · Phone (714) 456-7890 · Fax (520) 874-7539

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Siddesh Gopalakrishnan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALYSSA HAHN

Nurse Practitioner (Pediatrics)