Manju Chandran

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

11024922 Issued in FL

Practice address

1437 S Belcher Rd
Clearwater, FL 33764-2829

Phone

(727) 524-4464

Fax

(727) 538-7272

NPI assigned

Apr 13, 2023

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

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Compass Health Systems PAGroup PAC ID 6204733413, 59 clinicians

Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Mary'S Medical Center Hospital, West Palm Beach, FL, CCN 100288

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23897/brand/1/csg/1/fhir/r4

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.

• Compass Health Systems, P.a.

  • Psychiatry Physician
  • North Miami, FL
  • NPI 1619965795

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Prestige Recovery and Suboxone Clinic LLC

  • Psychiatry Physician
  • Fort Lauderdale, FL
  • NPI 1215623624
  Medicare reassignment NPD
• Compass Health Systems, P.a.

  • Psychiatry Physician
  • Orlando, FL
  • NPI 1194392498

  Psychiatric/Mental Health

  NPD
• Prestige Clinicians LLC

  • Primary Care Clinic/Center
  • Oakland Park, FL
  • NPI 1497213755
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St. Mary'S Medical Center, Inc

  • General Acute Care Hospital
  • West Palm Beach, FL
  • NPI 1952333205
  Care Compare affiliation

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1245926146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9077 NW 44TH CT",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330651724",
            "telephone_number": "954-257-3926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1437 S BELCHER RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337642829",
            "telephone_number": "727-524-4464",
            "fax_number": "727-538-7272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9077 NW 44th Ct",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330651724",
            "country_code": "US",
            "telephone_number": "954-257-3926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANDRAN",
        "first_name": "MANJU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-13",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11024922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Vesilki Chambers, LMHC
• Champagne Dental Corp
• Raymond Nam Shan Chan, M.D.
• Christopher Sidney Ford Chance, DC
• Bryce Chandler
• Angela Denise Beal Chaney
• Changing Lives Counseling Services, LLC
• Changing Tides Counseling, LLC
• Liberato Chapa, MD
• Alfred B Chapman, D.O.

• Psychiatric/Mental Health Nurse Practitioner in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.