Organization Active NPI

Balinder S. Chahal, MD., PA

  • Psychiatry Physician
  • Lake Mary, FL
National Provider Identifier
1194767467
Registry record updated Jul 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME0060781 Issued in FL
Legal business name
BALINDER S. CHAHAL, MD., PA
Practice address
1355 S International Pkwy
#2491
Lake Mary, FL 32746-1696
Phone
(407) 804-8016
Fax
(407) 804-8017
NPI assigned
Jun 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2012

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

Authorized official

Name
Balinder S Chahal, M.D.NPI 1598706442
Title
President
Phone
(407) 804-8016

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X ME0060781 FL Primary

Addresses

Primary practice location

1355 S International Pkwy
#2491
Lake Mary, FL 32746-1696

Mailing address

1355 S International Pkwy
#2491
Lake Mary, FL 32746-1696
Phone (407) 804-8016

Other identifiers 1

IdentifierTypeStateIssuer
374756500MedicaidFL

National Provider Directory

National Provider Directory

Locations

1355 S International Pkwy
Ste 2491
Lake Mary, FL 32746
Phone (407) 804-8016

Practitioners & affiliated clinicians

Practitioners 2

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": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342569600000",
    "number": "1194767467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 S INTERNATIONAL PKWY",
            "address_2": "#2491",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461696",
            "telephone_number": "407-804-8016",
            "fax_number": "407-804-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 S INTERNATIONAL PKWY",
            "address_2": "#2491",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461696",
            "telephone_number": "407-804-8016",
            "fax_number": "407-804-8017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALINDER S. CHAHAL, MD., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2012-07-18",
        "status": "A",
        "authorized_official_last_name": "CHAHAL",
        "authorized_official_first_name": "BALINDER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-804-8016",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0060781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374756500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.