Individual provider Active NPI

Rajani Thangavelu, M.D.

  • Psychiatry Physician
  • Naples, FL
National Provider Identifier
1184716565
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
41725 Issued in MI
Practice address
2865, Horseshoe Drive South
VA Medical Center
Naples, FL 34104
Phone
(239) 659-9188
Fax
(239) 659-0526
NPI assigned
Sep 29, 2006
Last updated
Jan 4, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychiatry Physician 2084F0202X 04-24912 KS
Psychiatry Physician 2084P0800X 41725 MI Primary
Addiction Psychiatry Physician 2084P0802X 35-05-0199-T OH

Addresses

Primary practice location

2865, Horseshoe Drive South
VA Medical Center
Naples, FL 34104

Mailing address

2685 Horseshoe Dr S
Suite 101
Naples, FL 34104-6113
Phone (239) 659-9188

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 Medicine

State licenses

LicenseStateTypeSpecialty
04-24912KSMDForensic Psychiatry Physician
41725MIMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294099200000",
    "number": "1184716565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2685 HORSESHOE DR S",
            "address_2": "SUITE 101",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341046113",
            "telephone_number": "239-659-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865, HORSESHOE DRIVE SOUTH",
            "address_2": "VA MEDICAL CENTER",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34104",
            "telephone_number": "239-659-9188",
            "fax_number": "239-659-0526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THANGAVELU",
        "first_name": "RAJANI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2011-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "KS",
            "license": "04-24912",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "41725",
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "OH",
            "license": "35-05-0199-T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; 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.