Active NPI
Radhika Unnithan, M.A., LPA
- Clinical Child & Adolescent Psychologist
- Salisbury, NC
National Provider Identifier
1215080528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 1965
- Practice address
- 204 E Innes St
Suite 260
Salisbury, NC 28144-5010 - Phone
- (704) 630-4673
- Fax
- (704) 630-4663
- NPI assigned
- Jan 19, 2007
- 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 |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 1965 | NC | Primary |
Addresses
Primary practice location
204 E Innes St
Suite 260
Salisbury, NC 28144-5010
Mailing address
204 E Innes St
Suite 260
Salisbury, NC 28144-5010
Phone (704) 630-4673
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6107043 | Medicaid | NC |
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
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Center, LLC | Clinical Child & Adolescent | Past | Accepting new patients |
Interoperability endpoints
- radhika.unnithan@direct.covenantcms.nchie.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Child & Adolescent Psychologist
- Salisbury, NC
- NPI 1518019173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1215080528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 E INNES ST",
"address_2": "SUITE 260",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281445010",
"telephone_number": "704-630-4673",
"fax_number": "704-630-4663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 E INNES ST",
"address_2": "SUITE 260",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281445010",
"telephone_number": "704-630-4673",
"fax_number": "704-630-4663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNNITHAN",
"first_name": "RADHIKA",
"credential": "M.A., LPA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-19",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NC",
"license": "1965",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6107043",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salisbury, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.