Vanita Sahasranaman, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME130678 Issued in FL

Practice address

4720 N State Road 7
Lauderdale Lakes, FL 33319-5860

Phone

(954) 606-0911

NPI assigned

Jun 8, 2011

Last updated

May 10, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Henderson Behavioral Health, Inc.

  • Family Medicine Physician
  • Lauderdale Lakes, FL
  • NPI 1154272706
  NPD (past)

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557446400000",
    "number": "1184918096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13301 BRUCE B DOWNS BLVD # 2722C",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336123807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 N STATE ROAD 7",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333195860",
            "telephone_number": "954-606-0911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13301 Bruce B Downs Blvd # 2722C",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336123899",
            "country_code": "US",
            "telephone_number": "813-974-1874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAHASRANAMAN",
        "first_name": "VANITA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-08",
        "last_updated": "2019-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME130678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rose Retreat Consulting LLC (Rose Retreat Home Care)
• Nicole Rowland, BCBA
• Lynzy Alexis Russell, ARNP
• Vanessa A Russell, ARNP , NP-C
• Sacred Heart Home Health, LLC
• Jean Max Saint Charles, MD
• Glenis Fabienne Saint-Cyr, APRN FNP-C
• Aliane Saintil
• Dadesky Ivory Saintil, DC
• Frantz Sainvil, MD

• Psychiatry Physician in Lauderdale Lakes, FL
• Providers in Lauderdale Lakes, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; 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.