Jayasree Jayadevan Nandagopal, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

35.088216 Issued in OH

Practice address

7760 University CT
Suite H
West Chester, OH 45069-3371

Phone

(513) 547-4491

NPI assigned

Feb 20, 2007

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 12

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Colorado West Regional Mental Health Inc.

  dba Health Solutions West

  • Community/Behavioral Health Agency
  • Grand Junction, CO
  • NPI 1649003740
  Medicare reassignment NPD
• Serenity Behavioral Science Center

  • Psychiatry Physician
  • West Chester, OH
  • NPI 1851604193
  NPD (past) Authorized official
• Colorado West Regional Mental Health Inc.

  dba Mind Springs Health

  • Substance Abuse Rehabilitation Facility
  • Clifton, CO
  • NPI 1962069237
  NPD
• Colorado West Regional Mental Health, Inc.

  dba Health Solutions West

  • Professional Counselor
  • Grand Junction, CO
  • NPI 1275214959
  NPD
• Psychiatric Professional Services

  • Psychiatry Physician
  • Cincinnati, OH
  • NPI 1447343306
  NPD (past)
• Colorado West Psychiatric Hospital, Inc.

  dba West Springs Hospital, Inc.

  • Psychiatric Hospital
  • Grand Junction, CO
  • NPI 1275680837
  NPD (past)
• Colorado West Regional Mental Health Inc.

  dba Health Solutions West

  • Community/Behavioral Health Agency
  • Aspen, CO
  • NPI 1881427979
  NPD (past)
• Colorado West Regional Mental Health, Inc.

  dba Health Solutions West

  • Community/Behavioral Health Agency
  • Glenwood Springs, CO
  • NPI 1033942131
  NPD (past)
• Colorado West Regional Mental Health, Inc.

  dba Health Solutions West

  • Substance Abuse Rehabilitation Facility
  • Grand Junction, CO
  • NPI 1043045354
  NPD (past)
• Colorado West Regional Mental Health, Inc.

  dba Health Solutions west

  • Community/Behavioral Health Agency
  • Meeker, CO
  • NPI 1063246635
  NPD (past)
• Colorado West Regional Mental Health, Inc.

  dba Health Solutions west

  • Community/Behavioral Health Agency
  • Steamboat Springs, CO
  • NPI 1164255261
  NPD (past)
• Colorado West Regional Mental Health, Inc.

  dba Health Solutions West

  • Community/Behavioral Health Agency
  • Craig, CO
  • NPI 1225861321
  NPD (past)

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1215072301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2070 WINDING CREEK LN",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450401451",
            "telephone_number": "513-868-1562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7760 UNIVERSITY CT",
            "address_2": "SUITE H",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450693371",
            "telephone_number": "513-547-4491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANDAGOPAL",
        "first_name": "JAYASREE",
        "middle_name": "JAYADEVAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35.088216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEECH STREET",
            "identifier": "1215072301",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1215072301",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "1215072301",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2726054",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH SPAN",
            "identifier": "1215072301",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1215072301",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIFESYNCH - HUMANA",
            "identifier": "272314123",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000663376",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE SELECT",
            "identifier": "1215072301",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONCERN - TRI HEALTH",
            "identifier": "1215072301",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH (UBH)",
            "identifier": "1215072301",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRI STATE BENEFITS",
            "identifier": "1215072301",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nabicare LLC
• Ashley Nadel
• Nadia Home Care Solutions LLC
• Kaori Nagai, APRN
• Kelly E Nagy, M.D.
• Kevin Allen Naples, D.C.
• Shankar Narayanan, MD
• Kimberly Nartker, PRESIDENT
• Fatema Osama Nassar, DO
• National Delivery Services LLC

• Psychiatry Physician in West Chester, OH
• Providers in West Chester, OH by specialty
• Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.