Organization Active NPI

Sanjay Agarwal S.C.

  • Psychiatry Physician
  • Madison, WI
National Provider Identifier
1326321043
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A110145 Issued in CA
Legal business name
SANJAY AGARWAL S.C.
Practice address
1360 Regent St
Ste#312
Madison, WI 53715-1255
Phone
(314) 368-0900
NPI assigned
Sep 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2011

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

Authorized official

Name
Sanjay AgarwalNPI 1376721928
Title
President
Phone
(314) 368-0900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X A110145 CA Primary

Addresses

Primary practice location

1360 Regent St
Ste#312
Madison, WI 53715-1255

Mailing address

360 W Washington Ave
Unit #713
Madison, WI 53703-2755
Phone (314) 368-0900

National Provider Directory

National Provider Directory

Locations

1360 Regent St
Madison, WI 53715
Phone (608) 889-7173

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316476800000",
    "number": "1326321043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 W WASHINGTON AVE",
            "address_2": "UNIT #713",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537032755",
            "telephone_number": "314-368-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 REGENT ST",
            "address_2": "STE#312",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151255",
            "telephone_number": "314-368-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANJAY AGARWAL S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-20",
        "last_updated": "2011-09-20",
        "status": "A",
        "authorized_official_last_name": "AGARWAL",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-368-0900"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A110145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; 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.