Organization Active NPI

Chaganti and Associates PC

  • Psychiatry Physician
  • St Louis, MO
National Provider Identifier
1366565103
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
CHAGANTI AND ASSOCIATES PC
Practice address
2639 Miami Street
St Louis, MO 63118
Phone
(314) 268-6195
Fax
(314) 268-6155
NPI assigned
Apr 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Surendra Chaganti, MDNPI 1932213725
Title
President
Phone
(314) 283-8291

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 Primary

Addresses

Primary practice location

2639 Miami Street
St Louis, MO 63118

Mailing address

713 The Hamptons Lane
Town and Country, MO 63017
Phone (314) 276-8893

Other names 1

  • Mental Health Specialists Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050518000878 MO Part B Supplier - Clinic/Group Practice 8729029954 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Louis, MO; Crystal City, MO; Arnold, MO

National Provider Directory

National Provider Directory

Locations

842 N Truman Blvd
Ofc
Crystal City, MO 63019
Phone (314) 276-1151

4361 Olive St
Saint Louis, MO 63108
Phone (314) 531-1413

3535 S Jefferson Ave
Ste 310
Saint Louis, MO 63118
Phone (314) 752-7370

7321 S Lindbergh Blvd
Ste 110
Saint Louis, MO 63125
Phone (314) 276-1151

3535 S Jefferson Ave
Ste S9
Saint Louis, MO 63118
Phone (314) 268-6195

13131 Tesson Ferry Rd
Ofc
Saint Louis, MO 63128
Phone (314) 276-1511

3507 Texas Ave
Ofc
Saint Louis, MO 63118
Phone (314) 268-6195

Practitioners & affiliated clinicians

Practitioners 9

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": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366565103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 THE HAMPTONS LANE",
            "city": "TOWN AND COUNTRY",
            "state": "MO",
            "postal_code": "63017",
            "telephone_number": "314-276-8893",
            "fax_number": "314-645-6478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2639 MIAMI STREET",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63118",
            "telephone_number": "314-268-6195",
            "fax_number": "314-268-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAGANTI AND ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHAGANTI",
        "authorized_official_first_name": "SURENDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-283-8291",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mental Health Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.