DR. MUKUND GNANADESIKAN (NPI# 1699868133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699868133 |
| Entity Type | Individual |
| Full Name | DR. MUKUND GNANADESIKAN |
| Credential | M.D. |
| Practice Address |
2261 Elm St Napa CA 94559-3721 |
| Mailing Address |
2751 Napa Valley Corporate Dr. Bldgs A & B Napa CA 94559-6216 |
| Practice Telephone | 7072598167 |
| Practice Fax Number | 7072598651 |
| Mailing Telephone | 7072598167 |
| Mailing Fax Number | 7072598651 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2016-08-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
C53063 | CA | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
28084 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
2261 ELM ST |
| City | NAPA |
| State | CA |
| Zip Code | 94559-3721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083069827 | Brenda Parra | Community Health Worker | 2261 Elm St, Bldg A, Napa, CA 94559-3721 | 2016-04-29 |
| 1306206198 | Christina Grattan | Social Worker | 2261 Elm St, Napa, CA 94559-3721 | 2016-03-07 |
| 1770954448 | Jillian Wallace | Counselor | 2261 Elm St, Napa, CA 94559-3721 | 2015-10-07 |
| 1467833855 | Lynne Sonya Santamaria I | Registered Nurse | 2261 Elm St, Napa, CA 94559-3721 | 2015-06-11 |
| 1346632353 | Luz Herminia Jimenez Magana | Case Manager/Care Coordinator | 2261 Elm St, Napa, CA 94559-3721 | 2015-02-27 |
| 1063829331 | Gusto Curtis | Social Worker | 2261 Elm St, Napa, CA 94559-3721 | 2014-07-17 |
| 1801200068 | Jennifer Swift | Student in an Organized Health Care Education/Training Program | 2261 Elm St, Napa, CA 94559-3721 | 2014-06-16 |
| 1285070698 | Josefina Nicolas | Counselor | 2261 Elm St, Building C, Napa, CA 94559-3721 | 2013-05-13 |
| 1891039863 | Joanna Gutierrez | Student in an Organized Health Care Education/Training Program | 2261 Elm St, Bldg. A, Napa, CA 94559-3721 | 2012-11-15 |
| 1285983825 | Megan Jean Casey | Student in an Organized Health Care Education/Training Program | 2261 Elm St, Napa County Health and Human Services Agency, Napa, CA 94559-3721 | 2012-08-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730742156 | Beauregard Story | Dentist | 300 Hartle Court, Napa, CA 94559 | 2019-04-22 |
| 1841771565 | Yadira Rojas | Behavioral Analyst | 249 Jefferson St, Napa, CA 94559 | 2018-08-22 |
| 1497276364 | Nuzhat Sultana | Marriage & Family Therapist | 1303 Jefferson Street Ste 600a, Lorraine Crockford Ma. Lmft, Napa, CA 94559 | 2017-06-30 |
| 1629507983 | Elia Inglis | Social Worker | 2310 First St., Napa, CA 94559 | 2017-06-08 |
| 1164838231 | Nisha Patel | Counselor | 2344 Old Sonoma Road, Napa, CA 94559 | 2014-07-09 |
| 1447687330 | Ole Health | Clinic/Center | 100 Hartle Ct, Napa, CA 94559 | 2013-10-09 |
| 1437597515 | Jenna Leigh Haug | Nutritionist | 1553 Second St., Downstairs Unit, Napa, CA 94559 | 2013-06-11 |
| 1518303817 | Jen Marie Lytle | Counselor | 2261 Elm Street, Building P, Napa, CA 94559 | 2013-05-14 |
| 1598028714 | Angela Rozella Todd | Nurse Practitioner | 1735 Jefferson Street, Napa, CA 94559 | 2012-06-21 |
| 1699075911 | Brian Mcdaniels | Counselor | 2344 Old Sonoma Rd., Building J Room 109, Napa, CA 94559 | 2010-11-02 |
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| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| 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. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821197732 | James M Mcknight | Psychiatry & Neurology | 605 Cabot Way, Napa, CA 94559-4731 | 2006-09-21 |
| 1891810388 | Noelle Thomas | Psychiatry & Neurology | 2100 Napa Vallejo Hwy, Napa, CA 94558-6293 | 2007-03-21 |
| 1134267347 | Shameem K. Ghauri | Psychiatry & Neurology | 2344 Old Sonoma Rd, Napa, CA 94559-3708 | 2007-02-01 |
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| 1912432055 | Centered Health LLC | Psychiatry & Neurology | 6422 W 6th St, Los Angeles, CA 90048-4714 | 2017-04-26 |
| 1255871182 | Carol R Harrus | Psychiatry & Neurology | 517 Patricia Ln, Palo Alto, CA 94303-2856 | 2017-02-25 |
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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.