Individual provider Active NPI

Amal Chakraburtty, MD

  • Psychiatry Physician
  • Oklahoma City, OK
National Provider Identifier
1053341362
Registry record updated Jul 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
18371 Issued in OK
Practice address
5100 N Brookline Ave
900
Oklahoma City, OK 73112-3623
Phone
(405) 604-3170
Fax
(405) 948-2745
NPI assigned
Jul 3, 2006
Last updated
Jul 21, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2017

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 18371 OK Primary

Addresses

Primary practice location

5100 N Brookline Ave
900
Oklahoma City, OK 73112-3623

Mailing address

5300 N Independence Ave
280
Oklahoma City, OK 73112-5556
Phone (405) 604-3170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, CA, FL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20071022000487 OK Practitioner - Psychiatry 0840386876
I20240424001265 CA Practitioner - Psychiatry 0840386876 Reassigns benefits to 1 organization
I20250319000587 FL Practitioner - Psychiatry 0840386876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Truecandor Behavioral Health, LLCGroup PAC ID 9830504034, 13 clinicians

Practice addresses (Care Compare)

13324 Telecom Dr
Temple Terrace, FL 33637-0938
Phone 8134193386106

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18371OKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Truecandor Behavioral Health, LLC Psychiatry CurrentSince Mar 1, 2025 Accepting new patients
Telecare Corporation CurrentSince Mar 16, 2024 Accepting new patients
Telecare Corporation CurrentSince Mar 16, 2024 Accepting new patients
Telecare Corporation Current Accepting new patients

Locations

1080 Marina Village Pkwy
Ste 100
Alameda, CA 94501
Phone (510) 306-5660

1774 Zonal Ave
Bldg D
Los Angeles, CA 90033
Phone (323) 992-4323

280 17th St
Oakland, CA 94612
Phone (510) 238-5020

6320 US Highway 301 S
Riverview, FL 33578
Phone (813) 419-3386

13324 Telecom Dr
Temple Terrace, FL 33637
Phone (813) 419-3386

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500595200000",
    "number": "1053341362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 N INDEPENDENCE AVE",
            "address_2": "280",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125556",
            "telephone_number": "405-604-3170",
            "fax_number": "405-948-2745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 N BROOKLINE AVE",
            "address_2": "900",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731123623",
            "telephone_number": "405-604-3170",
            "fax_number": "405-948-2745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAKRABURTTY",
        "first_name": "AMAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2017-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "18371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.