Individual provider Active NPI

Manjusri Chatterjee, MD

  • Psychiatry Physician
  • Cary, NC
National Provider Identifier
1003885286
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
NC28919 Issued in NC
Practice address
790 SE Cary Pkwy Ste 201
Cary, NC 27511-5678
Phone
(919) 443-4100
Fax
(877) 904-9349
NPI assigned
Mar 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NC28919 NC Primary

Addresses

Primary practice location

790 SE Cary Pkwy Ste 201
Cary, NC 27511-5678

Mailing address

1502 W NC Highway 54 Ste 103
Durham, NC 27707-5572
Phone (919) 354-0840

Other practice location 1

1000 Crescent Green Dr
Suite 100
Cary, NC 27518
Phone (919) 859-2292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
NC28919NCMDPsychiatry Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521590400000",
    "number": "1003885286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 W NC HIGHWAY 54 STE 103",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277075572",
            "telephone_number": "919-354-0840",
            "fax_number": "919-748-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 SE CARY PKWY STE 201",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275115678",
            "telephone_number": "919-443-4100",
            "fax_number": "877-904-9349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Crescent Green Dr",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "27518",
            "country_code": "US",
            "telephone_number": "919-859-2292",
            "fax_number": "919-233-1533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHATTERJEE",
        "first_name": "MANJUSRI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2018-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "NC28919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.