Gitendra Uswatte, PH.D.

Primary specialty

Rehabilitation PsychologistTaxonomy code 103TR0400X

License

1290 Issued in AL

Practice address

1720 2ND Ave S
Ch415
Birmingham, AL 35294-1170

Phone

(205) 975-5089

Fax

(205) 975-6140

NPI assigned

May 12, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Dr. Gitendra Uswatte-Aratchi Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399852800000",
    "number": "1225449309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 2ND AVE S",
            "address_2": "CH415",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352941170",
            "telephone_number": "205-975-5089",
            "fax_number": "205-975-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 2ND AVE S",
            "address_2": "CH415",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352941170",
            "telephone_number": "205-975-5089",
            "fax_number": "205-975-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "USWATTE",
        "first_name": "GITENDRA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-12",
        "last_updated": "2014-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "1290",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "AL",
            "license": "1290",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "AL",
            "license": "1290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GITENDRA",
            "last_name": "USWATTE-ARATCHI",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Rehabilitation Psychologist in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Rehabilitation Psychologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; 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.