Healthcare Provider Details

I. General information

NPI: 1265046148
Provider Name (Legal Business Name): KRIPA BEHAVIORAL HEALTH, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2020
Last Update Date: 09/08/2020
Certification Date: 09/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 ELSBREE ST STE 1A
FALL RIVER MA
02720-7297
US

IV. Provider business mailing address

415 ELSBREE ST STE 1A
FALL RIVER MA
02720-7297
US

V. Phone/Fax

Practice location:
  • Phone: 508-974-4112
  • Fax: 508-535-8021
Mailing address:
  • Phone: 508-974-4112
  • Fax: 508-535-8021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: SHALINI MANSHARAMANI
Title or Position: PRESIDENT
Credential: MD
Phone: 508-974-4112