SHORE PSYCHIATRIC EVLUATION AND COUNSELING
NPI 1245361583
Psychiatry & Neurology - Psychiatry in Linwood, NJ

Active since March 08, 2007
2106 NEW ROAD, D-8, LINWOOD, NJ 08221(609) 927-1030(609) 927-9985 Get Directions Write a Review

NPPES record last updated: December 13, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shore Psychiatric Evluation And Counseling NPPES

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

SHORE PSYCHIATRIC EVLUATION AND COUNSELING (NPI 1245361583) is a healthcare organization registered as a psychiatry in Linwood, New Jersey and active in the NPI registry since March 2007. The organization lists Srisai Gowda, Owner, as its authorized official.

NPPES Registry Identity

NPI1245361583
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameSRISAI GOWDA MD LLC
Location Address2106 NEW ROAD, D-8Linwood, NJ 08221
Mailing Address2106 New Road, D-8Linwood, NJ 08221 · (609) 927-1030 · Fax (609) 927-9985
Fax(609) 927-9985
Organization SubpartNo
Authorized OfficialSrisai GowdaOwner · (609) 927-1030
Enumeration DateMarch 8, 2007
Last NPPES UpdateDecember 13, 2019
✔ NPI 1245361583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NJ · 25MA06553300
Definition
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.
2106 NEW ROAD, Linwood, NJ 08221

Other Names 1

Other NameShore Psychiatric Evluation And Counseling

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shore Psychiatric Evluation And Counseling is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew JerseyEnrollment IDO20040803000024Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Shore Psychiatric Evluation And Counseling, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Clinical Social Worker
NPI 1790879088
2106 NEW RD STE D8
Linwood, NJ 08221
(609) 927-1030
✔ PECOSSame address
Nurse Practitioner
NPI 1033755921
28 S NEW YORK RD STE C4
Galloway, NJ 08205
(609) 652-0555
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1710464110
42 DELSEA DR S
Glassboro, NJ 08028
(844) 422-3632
✔ PECOS✔ Accepts Medicare38 mi
Nurse Practitioner
NPI 1447885132
81 BIG OAK RD STE 102A
Yardley, PA 19067
(267) 753-0750
✔ PECOS✔ Accepts Medicare61 mi
Psychiatry
NPI 1710960711
30 PROSPECT AVE
Hackensack, NJ 07601
(551) 996-2008
✔ PECOS✔ Accepts Medicare111 mi
Psychiatry
NPI 1801995352
#2106, NEW ROAD D-8
Linwood, NJ 08221
(609) 927-1030
✔ PECOS✔ Accepts Medicare

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Srisai Gowda MD LLC's NPI number?

The NPI number for Srisai Gowda MD LLC is 1245361583. It was assigned to this organization in the NPPES registry on March 8, 2007. The provider is also known as Shore Psychiatric Evluation And Counseling.

Where is Srisai Gowda MD LLC located?

Srisai Gowda MD LLC is located at 2106 New Road D-8, Linwood, NJ 08221. The listed phone number is (609) 927-1030.

What is Srisai Gowda MD LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Srisai Gowda MD LLC enrolled in Medicare?

Yes. Srisai Gowda MD LLC is registered in the Medicare PECOS enrollment system.

When is Srisai Gowda MD LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Srisai Gowda MD LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Srisai Gowda MD LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3), Psychiatry (2) and Clinical Social Worker (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Srisai Gowda MD LLC was last updated on December 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.