Individual provider Active NPI

Monisha Chakraborty Nayar-Akhtar, PH.D.

  • Mental Health Counselor
  • Wynnewood, PA
National Provider Identifier
1104927433
Registry record updated Oct 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PS 016306 Issued in PA
Practice address
300 E Lancaster Ave Ste 201B
Wynnewood, PA 19096-2142
Phone
(610) 642-1017
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
Yes

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 Philosophy

State licenses

LicenseStateTypeSpecialty
PS 016306PAMDMental Health Counselor

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PS 016306 PA Primary

Addresses

NPPES NPI Registry

Primary practice location

300 E Lancaster Ave Ste 201B
Wynnewood, PA 19096-2142

Mailing address

300 E Lancaster Ave
Suite 201-B
Wynnewood, PA 19096-2139
Phone (610) 642-1017

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
PS 016306OtherPAPENNSYLVANIA LICENSE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 2, 2015.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443744000000",
    "number": "1104927433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E LANCASTER AVE",
            "address_2": "SUITE 201-B",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190962139",
            "telephone_number": "610-642-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E LANCASTER AVE STE 201B",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190962142",
            "telephone_number": "610-642-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAYAR-AKHTAR",
        "first_name": "MONISHA",
        "middle_name": "CHAKRABORTY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2015-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PS 016306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA LICENSE",
            "identifier": "PS 016306",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynnewood, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.