Active NPI
Parkavi Chellappa, MD
- Psychiatry Physician
- Hamden, CT
National Provider Identifier
1124296710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- PG PERMIT #82006
- Practice address
- 9102 Town Walk Dr
Hamden, CT 06518-3745 - Phone
- (520) 437-1634
- NPI assigned
- Feb 15, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | PG PERMIT #82006 | AZ | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | A110296 | CA |
Addresses
Primary practice location
9102 Town Walk Dr
Hamden, CT 06518-3745
Mailing address
9102 Town Walk Dr
Hamden, CT 06518-3745
Phone (520) 437-1634
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PG PERMIT #82006 | AZ | MD | Psychiatry Physician |
| A110296 | CA | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Veritas Collaborative, LLC | Past | Accepting new patients | |
| Veritas Collaborative North Carolina, LLC | Past | Accepting new patients | |
| Veritas Collaborative, LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Psychiatric Hospital
- Durham, NC
- NPI 1760835144
-
- Multi-Specialty Clinic/Center
- Durham, NC
- NPI 1184167793
-
- Psychiatric Hospital
- Durham, NC
- NPI 1376817593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397692800000",
"number": "1124296710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9102 TOWN WALK DR",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065183745",
"telephone_number": "520-437-1634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9102 TOWN WALK DR",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065183745",
"telephone_number": "520-437-1634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHELLAPPA",
"first_name": "PARKAVI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-15",
"last_updated": "2014-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AZ",
"license": "PG PERMIT #82006",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "A110296",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hamden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.