Individual provider Active NPI

Gobind Kang-Chahal, MD

  • Psychiatry Physician
  • Waukesha, WI
National Provider Identifier
1265533392
Registry record updated Nov 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
80742 Issued in MA
Practice address
514 Riverview Ave
Waukesha, WI 53188-3631
Phone
(262) 548-7666
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 80742 MA Primary

Addresses

Primary practice location

514 Riverview Ave
Waukesha, WI 53188-3631

Mailing address

514 Riverview Ave
Waukesha, WI 53188-3631
Phone (262) 548-7666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, DE2 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
I20120720000292 WI Practitioner - Psychiatry 2668464199 Reassigns benefits to 1 organization
I20230124003310 DE Practitioner - Psychiatry 2668464199 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brain Spa de LLCGroup PAC ID 0840607511, 6 clinicians

Practice addresses (Care Compare)

410 Foulk Rd
Suite 105
Wilmington, DE 19803-3835
Phone (678) 296-0842

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
80742MAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brain Spa de LLC CurrentSince Jan 1, 2023 Accepting new patients
Waukesha County Current Accepting new patients
Waukesha County CurrentSince Nov 1, 2014 Accepting new patients
Serene Minds, LLC CurrentSince Nov 1, 2022 Accepting new patients
Waukesha County CurrentSince Nov 1, 2014 Accepting new patients
VHS Acquisition Subsidiary Number 9 Inc Psychiatry Past Accepting new patients

Locations

80 Omega Dr
Bldg C
Newark, DE 19713
Phone (302) 478-6199

410 Foulk Rd
Ste 105
Wilmington, DE 19803
Phone (302) 762-2283

410 Foulk Rd
Ste 102
Wilmington, DE 19803
Phone (302) 478-6199

1 Harbison Way
Ste 222
Columbia, SC 29212

1501 Airport Rd
Waukesha, WI 53188
Phone (262) 548-7950

514 Riverview Ave
Waukesha, WI 53188
Phone (262) 548-7212

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416268800000",
    "number": "1265533392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 RIVERVIEW AVE",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531883631",
            "telephone_number": "262-548-7666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 RIVERVIEW AVE",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531883631",
            "telephone_number": "262-548-7666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG-CHAHAL",
        "first_name": "GOBIND",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2014-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "80742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

Verify at the official NPI Registry.