CHANDRATARA, PA


Address: 4500 Hillcrest Rd Ste 115, Frisco, TX 75035-5418
Phone: 4692136400

CHANDRATARA, PA (NPI# 1245596006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TP0016X Psychologist
Specialization: Prescribing (Medical)
N9542 TX Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX MEDICARE PTAN 363043 01
TX MEDICARE PTAN 318504 01

Office Location

Street Address 4500 HILLCREST RD STE 115
City FRISCO
State TX
Zip Code 75035-5418

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 103TP0016X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Prescribing (Medical)

Taxonomy Definition

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]

Providers in the same taxonomy and state

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
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Competitor

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City FRISCO
Zip Code 75035

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Dataset Information

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.

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