DR. KALYANI GAVINI M.D. NPI 1730214206

NPI Information

  • NPI: 1730214206
  • Provider Name: DR. KALYANI GAVINI, M.D.
  • Classification: Psychiatry & Neurology - 2084P0804X
  • Specialization: Child & Adolescent Psychiatry
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6000 BOND AVE
    CENTREVILLE, IL
    ZIP 62207
  • Phone: (618) 332-2083

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NPI Details

DR. Kalyani Gavini, M.D. is a child and adolescent psychiatry psychiatry neurology in Centreville, IL. The provider is 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. DR. Kalyani Gavini, M.D. NPI is 1730214206. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6000 BOND AVE
CENTREVILLE, IL
ZIP 62207-328
Phone: (618) 332-2083
Fax: (618) 337-6039

The NPI 1730214206 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/23/2007 and was last updated on 10/14/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry2014023572MISSOURINo
22084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry036119523ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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