Sandikonda Elliam Tambala, DNP, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

284878 Issued in AZ

Practice address

2982 N Alma School Rd Ste 2
Chandler, AZ 85224-6700

Phone

(602) 600-7485

NPI assigned

Nov 2, 2023

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tambala.sandikonda.p1@direct.terros.nextgenshare.com

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.

• Nationwide Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Chandler, AZ
  • NPI 1366217648
  NPD

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

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1356114136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2982 N ALMA SCHOOL RD STE 2",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246700",
            "telephone_number": "602-600-7485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2982 N ALMA SCHOOL RD STE 2",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246700",
            "telephone_number": "602-600-7485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMBALA",
        "first_name": "SANDIKONDA",
        "middle_name": "ELLIAM",
        "name_prefix": "Dr.",
        "credential": "DNP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-02",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "284878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Takyar PLLC
• Sayid Talbert
• Talktome, LLC
• Daria Talley
• Mahima Talwar, BCBA-LBA
• Yvonne A Tambe -Ebot, NP
• Gael E Tambe Ebot
• Larry S Tamburro, MD
• Cristina Elizabeth Tamez, M.D.
• Jane Goodman Tammik, BCBA

• Psychiatric/Mental Health Nurse Practitioner in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.