Sandhya C Praveen Sr.

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ01025300 Issued in NJ

Practice address

15 Ser del Dr
Parsippany, NJ 07054-2263

Phone

(973) 234-2347

NPI assigned

Mar 26, 2020

Sex

Female

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

Enrolled in NJ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rutgers Health - Behavioral Health

  • Psychiatry Physician
  • Cherry Hill, NJ
  • NPI 1891956298
  Medicare reassignment NPD
• Sandy Psych Care PA

  • Psychiatric/Mental Health Nurse Practitioner
  • Parsippany, NJ
  • NPI 1134804164
  Authorized official Same address or phone
• Rutgers Health - Behavioral Health

  • Psychiatry Physician
  • Piscataway, NJ
  • NPI 1144267337
  NPD

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1376170340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SER DEL DR",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070542263",
            "telephone_number": "973-234-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SER DEL DR",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070542263",
            "telephone_number": "973-234-2347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRAVEEN",
        "first_name": "SANDHYA",
        "middle_name": "C",
        "name_suffix": "Sr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01025300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Positive Development Medical of New Jersey PC
• Janel Victoria Post, APN
• Andrew William Potts, ATC, LAT
• Kiran Devaiah Poylangada, DPM
• Jay Prajapati, PHAMRD
• Premier Pet Imaging of New Jersey Inc.
• Premise Health of New Jersey Medical PC (New York Live Investment Management)
• Premise Health of New Jersey Medical PC (NJM Parsippany Clinic)
• Donna L Preziosi, LCSW
• Pride Day Program Eclc of NJ

• Psychiatric/Mental Health Nurse Practitioner in Parsippany, NJ
• Providers in Parsippany, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.