Individual provider Active NPI

Anil Saxena, MD

  • Child & Adolescent Psychiatry Physician
  • Bethlehem, PA
National Provider Identifier
1124001086
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD030552E Issued in PA
Practice address
3005 Brodhead Rd
Bethlehem, PA 18020-9201
Phone
(610) 866-4966
Fax
(702) 745-2079
NPI assigned
Nov 23, 2005
Last updated
Jun 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X MD030552E PA Primary

Addresses

Primary practice location

3005 Brodhead Rd
Bethlehem, PA 18020-9201

Mailing address

5300 Kidspeace Dr
Orefield, PA 18069-2044
Phone (610) 799-8486

Other practice location 1

526 Jenna Dr
Brodheadsville, PA 18322-7141
Phone (570) 992-3613

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20031112000663 PA Practitioner - Psychiatry 1850204033 Practice locations: Bethlehem, PA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD030552EPAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bet-El Counseling Services, Inc Child & Adolescent Psychiatry CurrentSince Dec 16, 2020 Accepting new patients
Behavioral Health Associates Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: anil.saxena.1@8894.direct.athenahealth.com

Organizations & group practices 2

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": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1124001086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 KIDSPEACE DR",
            "city": "OREFIELD",
            "state": "PA",
            "postal_code": "180692044",
            "telephone_number": "610-799-8486",
            "fax_number": "610-799-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 BRODHEAD RD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180209201",
            "telephone_number": "610-866-4966",
            "fax_number": "702-745-2079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "526 Jenna Dr",
            "address_purpose": "LOCATION",
            "city": "Brodheadsville",
            "state": "PA",
            "postal_code": "183227141",
            "country_code": "US",
            "telephone_number": "570-992-3613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAXENA",
        "first_name": "ANIL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "MD030552E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.