CHANDRATARA, PA (NPI# 1245596006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245596006 |
Entity Type | Organization |
Organization Name | CHANDRATARA, PA |
Practice Address |
4500 Hillcrest Rd Ste 115 Frisco TX 75035-5418 |
Practice Telephone | 4692136400 |
Practice Fax Number | 4692136473 |
Mailing Telephone | 4692136400 |
Mailing Fax Number | 4692136473 |
Enumeration Date | 2012-04-05 |
Last Update Date | 2016-04-15 |
Authorized Official Name | SWATI ELLENDULA (PSYCHIATRIST) |
Authorized Official Telephone | 4692136400 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
N9542 | TX | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | MEDICARE PTAN | 363043 | 01 |
TX | MEDICARE PTAN | 318504 | 01 |
Street Address |
4500 HILLCREST RD STE 115 |
City | FRISCO |
State | TX |
Zip Code | 75035-5418 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942253372 | Muhammad Abdur Rahim Haqqani | Psychiatry & Neurology | 4500 Hillcrest Rd Ste 115, Frisco, TX 75035-5403 | 2006-05-18 |
1639705130 | Faith Behavioral Health Pllc | Psychiatry & Neurology | 4500 Hillcrest Rd Ste 115, Frisco, TX 75035-5403 | 2020-03-16 |
1386133064 | Frisco Behavioral Health Group, LLC | Community/Behavioral Health | 4500 Hillcrest Rd Ste 115, Frisco, TX 75035-5403 | 2018-05-08 |
1043739097 | Hillcrest Psychiatry Pllc | Psychiatry & Neurology | 4500 Hillcrest Rd Ste 115, Frisco, TX 75035-5403 | 2017-09-11 |
1770029977 | North Dallas Standard Health, LLC | Psychiatry & Neurology | 4500 Hillcrest Rd Ste 115, Frisco, TX 75035-5403 | 2017-01-11 |
1770037517 | Paul Myers | Counselor | 4500 Hillcrest Rd Ste 115, Frisco, TX 75035-5403 | 2016-08-10 |
1194108555 | Sadaf Noor | Psychiatry & Neurology | 4500 Hillcrest Rd Ste 115, Frisco, TX 75035-5403 | 2015-07-02 |
1922411230 | Farah Ali | Psychiatry & Neurology | 4500 Hillcrest Rd Ste 115, Frisco, TX 75035-5403 | 2014-06-04 |
1609070325 | Swati Ellendula | Specialist | 4500 Hillcrest Rd Ste 115, Frisco, TX 75035-5418 | 2007-06-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255938379 | Passionate Helpers | Home Health | 15922 Eldorado Parkway #500 #561, Frisco, TX 75035 | 2020-10-01 |
1740801331 | Jasmine Mathew | Recreation Therapist | 15820 Christopher Lane, Frisco, TX 75035 | 2020-05-05 |
1609416288 | James D Browning IIi | Dentist | 14660 Sh 121 Building 300, Frisco, TX 75035 | 2020-01-10 |
1376004655 | Prime Choice Urgent Care Pllc | Clinic/Center | 12828 Eldorado Parkway, Frisco, TX 75035 | 2019-03-28 |
1922576396 | Bradley Buchwald Dmd | Dentist | 6549 Coit Rd, Ste 124, Frisco, TX 75035 | 2018-11-05 |
1780165084 | B and B Optical Management, LLC | Optometrist | 16100 Sh 121, Bldg A, Suite 130, Frisco, TX 75035 | 2018-08-24 |
1659851061 | B and B Optical Management, LLC | Optometrist | 16100 Sh 121, Frisco, TX 75035 | 2018-08-15 |
1174018568 | Thrive Dental and Orthodontics Pllc | Dentist | 10935 Rolater Rd, #210, Frisco, TX 75035 | 2018-06-27 |
1558856054 | Stephanie Scales Gregory | Registered Nurse | 7525 Hickory Street, #205, Frisco, TX 75035 | 2018-06-27 |
1073018131 | Frisco Total Wellness Clinic, Pllc | Family Medicine | 14550 Highway 121, Suite 130, Frisco, TX 75035 | 2018-03-29 |
Find all providers in zip 75035 |
Taxonomy Code | 103TP0016X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Prescribing (Medical) |
Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326664012 | Global Psych | Psychologist | 539 W Commerce St Ste 2464, Dallas, TX 75208-1953 | 2020-06-18 |
1609364900 | Jamie John | Psychologist | 2620 Old Robinson Rd, Waco, TX 76706-3749 | 2018-04-23 |
1932618154 | Future Mental Health Services-llc | Psychologist | 2800 Tranquility Lake Blvd, Pearland, TX 77584-4658 | 2017-09-20 |
1386097590 | Cynthia D D Jones | Psychologist | 918 Garden Land Ct, Houston, TX 77073 | 2016-07-22 |
1669869947 | Jennifer Catherine Mckinley | Psychologist | 7400 Merton Minter St # 116a, San Antonio, TX 78229-4404 | 2015-04-23 |
1700271251 | Amber Kuntz Psychiatry | Psychologist | 1704 Andrew Ct, Corinth, TX 76210-3074 | 2015-04-01 |
1851633044 | Charles Shaw | Psychologist | 4118 Blossom St, Houston, TX 77007-5711 | 2013-03-26 |
1700138419 | Richard Yentis | Psychologist | 4388 W Vickery Blvd Ste 203, Fort Worth, TX 76107-6313 | 2012-10-04 |
1700031762 | Kevin J Johnson | Psychologist | 12805 Cullen Blvd., D, Houston, TX 77047 | 2008-11-18 |
1629287586 | Sridevi N Vemulapalli | Psychologist | 123 Arbor Hill Court, Conroe, TX 77384 | 2007-05-21 |
Find all providers with the same taxonomy |
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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.