Physicians for Children & Adolescents PSC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PHYSICIANS FOR CHILDREN & ADOLESCENTS PSC

Practice address

1330 South Mayo Trail, Suite 201
Pikeville, KY 41501

Phone

(606) 432-0123

Fax

(606) 433-1414

NPI assigned

Aug 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Rakesh Sachdeva, MDNPI 1881657054

Title

Pediatrician

Phone

(606) 432-0123

Specialties & licenses 3

Addresses

Other identifiers 2

Tax ID family

Physicians for Children2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Physicians for Children & Adolescents PSC

  dba Physicians For Children

  • Family Nurse Practitioner
  • Pikeville, KY
  • NPI 1376902262
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rakesh Sachdeva, M.D.

  • Pediatrics Physician
  • Prestonsburg, KY
  • NPI 1881657054
  NPD Authorized official

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534204800000",
    "number": "1225145444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3339",
            "address_2": "1330 SOUTH MAYO TRAIL, SUITE 201",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "41502",
            "telephone_number": "606-432-0123",
            "fax_number": "606-433-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 SOUTH MAYO TRAIL, SUITE 201",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "41501",
            "telephone_number": "606-432-0123",
            "fax_number": "606-433-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS FOR CHILDREN & ADOLESCENTS PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2018-08-14",
        "status": "A",
        "authorized_official_last_name": "SACHDEVA",
        "authorized_official_first_name": "RAKESH",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "606-432-0123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65917957",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100405970",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nikki Petterson
• Caitlin McKenzie Phillips, RBT
• Phoenix Treatment Centers Outpatient Division, LLC
• Phoenix Treatment Centers, LLC
• Physical Therapy Clinic PSC (Pike County Physical Therapy Clinic, PSC)
• Physicians for Children & Adolescents PSC (Physicians For Children)
• Alondra Pichardo
• Pike County Board of Education
• Pike County Health Department
• Pike County Health Department

• Pediatrics Physician in Pikeville, KY
• Providers in Pikeville, KY by specialty
• Pediatrics Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; 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.