Active NPI
Manjusri Chatterjee, MD
- Psychiatry Physician
- Cary, NC
National Provider Identifier
1003885286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- NC28919
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| NC28919 | NC | MD | Psychiatry 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.