Sumithra Raghavan, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

020970 Issued in NY

Practice address

26 Court St Ste 1304
Brooklyn, NY 11242-1113

Phone

(347) 915-4168

NPI assigned

Nov 13, 2015

Last updated

Nov 13, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Downtown Brooklyn Therapy

  • Clinical Psychologist
  • Brooklyn, NY
  • NPI 1902278815
  NPD (past) Authorized official

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

{
    "created_epoch": "1447372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447372800000",
    "number": "1033583083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 COURT ST STE 1304",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112421113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 COURT ST STE 1304",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112421113",
            "telephone_number": "347-915-4168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGHAVAN",
        "first_name": "SUMITHRA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-13",
        "last_updated": "2015-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "020970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Osama Ahmed Ragab, RPH
• Dagnija Ragauskas
• Monica Ragauskas, OTR/L
• Leah Christy Ragbir, MD
• Raghava Rao Polavarapu,MDPC
• Abdullah Mohammed Ezzeldine Ragheb, RPH
• Mamandur Raghu, M.D.
• Bibi Raghubir
• Collette Seymoan Ragin, LPN
• Adriana Diane Ragland, LMSW

• Clinical Psychologist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; 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.