Individual provider Active NPI

Jency Cynthia Sachidanandam, MD

  • Psychiatry Physician
  • El Paso, TX
National Provider Identifier
1225520620
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
V0144 Issued in TX
Practice address
800 N Mesa St
El Paso, TX 79902-3976
Phone
(915) 215-6170
Fax
(915) 215-8659
NPI assigned
May 31, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 333027 NY
Psychiatry Physician 2084P0800X MD2024-0060 NM
Child & Adolescent Psychiatry Physician 2084P0804X V0144 TX
Psychiatry Physician 2084P0800X V0144 TX Primary

Addresses

Primary practice location

800 N Mesa St
El Paso, TX 79902-3976

Mailing address

5130 Gateway Blvd E # 51015
El Paso, TX 79905-1608
Phone (915) 215-4480

Other practice location 1

1400 N Coit Rd Ste 302
McKinney, TX 75071-6656
Phone (833) 351-8255

Other practice location 2

4615 Alameda Ave
El Paso, TX 79905-2702
Phone (915) 215-6170

Other practice location 3

109 W 27th St Ste 5S
New York, NY 10001-0265
Phone (833) 351-8255

Other practice location 4

4801 Alberta Ave
El Paso, TX 79905-2707
Phone (159) 215-5700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jsachidanandam289751@direct.vidanthealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240830001798 TX Practitioner - Psychiatry 9234463589 Reassigns benefits to 3 organizations
I20250221001249 NM Practitioner - Psychiatry 9234463589 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center El Paso CurrentSince Sep 1, 2024 Accepting new patients
El Paso Child Guidance Center Inc CurrentSince Aug 1, 2024 Accepting new patients
Texas Tech University Health Sciences Center El Paso Psychiatry CurrentSince Sep 1, 2024 Accepting new patients
Texas Tech University Health Sciences Center El Paso Current Accepting new patients
MCCD FL Psychiatry Services PA Psychiatry CurrentSince Oct 7, 2024 Accepting new patients
El Paso Child Guidance Center Past Accepting new patients

Locations

500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685

109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572

2211 E Missouri Ave
Ste 310
El Paso, TX 79903
Phone (915) 562-1999

9001 Cashew Dr
Ste 300
El Paso, TX 79907
Phone (915) 562-1999

800 N Mesa St
El Paso, TX 79902
Phone (915) 215-4118

4615 Alameda Ave
El Paso, TX 79905
Phone (432) 268-7247

4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200

2701 E Yandell Dr
El Paso, TX 79903
Phone (915) 562-1999

1400 N Coit Rd
Ste 302
McKinney, TX 75071
Phone (214) 504-3005

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/epcgc/r4/

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1225520620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 GATEWAY BLVD E # 51015",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799051608",
            "telephone_number": "915-215-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N MESA ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023976",
            "telephone_number": "915-215-6170",
            "fax_number": "915-215-8659"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 N Coit Rd Ste 302",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750716656",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4615 Alameda Ave",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799052702",
            "country_code": "US",
            "telephone_number": "915-215-6170",
            "fax_number": "915-215-8659",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 W 27th St Ste 5S",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100010265",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4801 Alberta Ave",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799052707",
            "country_code": "US",
            "telephone_number": "159-215-5700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SACHIDANANDAM",
        "first_name": "JENCY CYNTHIA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-31",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "333027",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NM",
            "license": "MD2024-0060",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "V0144",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "V0144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsachidanandam289751@direct.vidanthealth.com",
            "affiliation": "N",
            "address_1": "2100 Stantonsburg Rd",
            "city": "Greenville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278342818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.