Organization Active NPI

Indian Wells Psychiatry & Counseling Center Inc.

  • Psychiatry Physician
  • Indian Wells, CA
National Provider Identifier
1144524943
Registry record updated May 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
20A7378 Issued in CA
Legal business name
INDIAN WELLS PSYCHIATRY & COUNSELING CENTER INC.
Practice address
74785 US Highway 111
Suite 203
Indian Wells, CA 92210-7128
Phone
(760) 340-2829
Fax
(760) 340-2846
NPI assigned
Jan 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2012

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

Authorized official

Name
Dr. Richard Nandi Chenik, D.O.
Title
Psychiatrist
Phone
(760) 340-2829

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 51305 CA
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 20A7378 CA Primary

Addresses

Primary practice location

74785 US Highway 111
Suite 203
Indian Wells, CA 92210-7128

Mailing address

74785 US Highway 111
Suite 203
Indian Wells, CA 92210-7128
Phone (760) 340-2829

National Provider Directory

National Provider Directory

Locations

74785 US Highway 111
Ste 203
Indian Wells, CA 92210
Phone (760) 625-8248

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1294358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337644800000",
    "number": "1144524943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74785 US HIGHWAY 111",
            "address_2": "SUITE 203",
            "city": "INDIAN WELLS",
            "state": "CA",
            "postal_code": "922107128",
            "telephone_number": "760-340-2829",
            "fax_number": "760-340-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74785 US HIGHWAY 111",
            "address_2": "SUITE 203",
            "city": "INDIAN WELLS",
            "state": "CA",
            "postal_code": "922107128",
            "telephone_number": "760-340-2829",
            "fax_number": "760-340-2846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIAN WELLS PSYCHIATRY & COUNSELING CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-07",
        "last_updated": "2012-05-22",
        "status": "A",
        "authorized_official_last_name": "CHENIK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "NANDI",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "760-340-2829",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "51305",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20A7378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Wells, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.

Verify at the official NPI Registry.