Individual provider Active NPI

Chitra Pidaparti, PH.D.

  • Psychologist
  • Petersburg, VA
National Provider Identifier
1164526760
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0810003549 Issued in VA
Practice address
2002 Wakefield Ave
Petersburg, VA 23805-2112
Phone
(804) 862-6186
Fax
(804) 862-6276
NPI assigned
Sep 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 0810003549 VA Primary

Addresses

Primary practice location

2002 Wakefield Ave
Petersburg, VA 23805-2112

Mailing address

2002 Wakefield Ave
Petersburg, VA 23805-2112
Phone (804) 862-6186

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0810003549VAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164526760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 WAKEFIELD AVE",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238052112",
            "telephone_number": "804-862-6186",
            "fax_number": "804-862-6276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 WAKEFIELD AVE",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238052112",
            "telephone_number": "804-862-6186",
            "fax_number": "804-862-6276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIDAPARTI",
        "first_name": "CHITRA",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0810003549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.