Active NPI
Marian Chatterjee, PH.D.
- Psychologist
- Beachwood, OH
National Provider Identifier
1205888088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 5045
- Practice address
- 24100 Chagrin Blvd
Suite 400
Beachwood, OH 44122-5535 - Phone
- (216) 831-1040
- Fax
- (216) 831-2667
- NPI assigned
- May 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 5045 | OH | Primary |
Addresses
Primary practice location
24100 Chagrin Blvd
Suite 400
Beachwood, OH 44122-5535
Mailing address
24100 Chagrin Blvd
Suite 400
Beachwood, OH 44122-5535
Phone (216) 831-1040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| O249663 | Medicaid | OH |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5045 | OH | MD | Obesity and Weight Management Nutrition Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206921600000",
"number": "1205888088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24100 CHAGRIN BLVD",
"address_2": "SUITE 400",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225535",
"telephone_number": "216-831-1040",
"fax_number": "216-831-2667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24100 CHAGRIN BLVD",
"address_2": "SUITE 400",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225535",
"telephone_number": "216-831-1040",
"fax_number": "216-831-2667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHATTERJEE",
"first_name": "MARIAN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-17",
"last_updated": "2008-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "5045",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "O249663",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Beachwood, OH
- Change Unlimited LLC
- Chantal G. Whitney, DDS, Inc.
- Jean Chapin
- Joshua Ross Chapin, ATC
- Jennifer Elyse Chapman, APRN, AGNP-C
- Gregory Brian Chattman, LSW MSSA
- Neela Tennille Chattman
- Winnie B Chattman
- Chattree and Associates (Community Behavioral Health Center)
- Chattree and Associates LTD (Community Behavioral Health Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.