Active NPI
Sathya P Rajan, MD
- Psychiatry Physician
- Athens, OH
National Provider Identifier
1073614335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 35090577
- Practice address
- 510 W Union St
Athens VA Out Patient Clinic
Athens, OH 45701-2331 - Phone
- (740) 593-7314
- Fax
- (740) 594-2804
- NPI assigned
- Sep 26, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 35090577 | OH | Primary |
Addresses
Primary practice location
510 W Union St
Athens VA Out Patient Clinic
Athens, OH 45701-2331
Mailing address
510 W Union St
Athens VA Out Patient Clinic
Athens, OH 45701-2331
Phone (740) 593-7314
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4322347699 | Medicaid | ME |
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 |
|---|---|---|---|
| 35090577 | OH | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maine Behavioral Healthcare | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Biddeford, ME
- NPI 1891733309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331251200000",
"number": "1073614335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 W UNION ST",
"address_2": "ATHENS VA OUT PATIENT CLINIC",
"city": "ATHENS",
"state": "OH",
"postal_code": "457012331",
"telephone_number": "740-593-7314",
"fax_number": "740-594-2804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 W UNION ST",
"address_2": "ATHENS VA OUT PATIENT CLINIC",
"city": "ATHENS",
"state": "OH",
"postal_code": "457012331",
"telephone_number": "740-593-7314",
"fax_number": "740-594-2804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAJAN",
"first_name": "SATHYA",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2012-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "35090577",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4322347699",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Athens, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.