NPIMap

Individual provider Active NPI

Adharsh Pravid Sahadevan, M.D.

  • Psychiatry Physician
  • Scranton, PA
National Provider Identifier
1376703769
Registry record updated Oct 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD447909 Issued in PA
Practice address
501 Madison Ave
Scranton, PA 18510-2401
Phone
(570) 343-2383
NPI assigned
Jun 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2022

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 MD447909 PA Primary

Addresses

Primary practice location

501 Madison Ave
Scranton, PA 18510-2401

Mailing address

5 Pethick Dr Ste 1
Wilkes Barre, PA 18702-6972
Phone (570) 203-7007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130919000637 PA Practitioner - Psychiatry 6103060827 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Counseling ServicesGroup PAC ID 5799768115, 10 clinicians

Practice addresses (Care Compare)

121 S Prospect St
Nanticoke, PA 18634-2456
Phone (570) 735-7590

358 Hamlin Hwy
Lake Ariel, PA 18436-9382
Phone (570) 689-2242

5 Pethick Dr
Suite 1
Wilkes Barre, PA 18702-6972
Phone (570) 203-7007

543 Easton Tpke
Lake Ariel, PA 18436-4718
Phone (570) 689-9965

750 E Broad St
Hazelton, PA 18201-6835
Phone (570) 455-6385

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.56 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
78.52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD447909PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Counseling Services CurrentSince Oct 31, 2022 Accepting new patients
Wayne Memorial Community Health Centers Psychiatry CurrentSince Sep 9, 2024 Accepting new patients
Valley Counseling Services LLC Psychiatry CurrentSince Oct 18, 2022 Accepting new patients
Wayne Memorial Community Health Centers CurrentSince Sep 9, 2024 Accepting new patients
Wayne Memorial Community Health Centers Past Accepting new patients

Locations

750 E Broad St
Hazleton, PA 18201

601 Park St
Honesdale, PA 18431
Phone (570) 253-8100

543 Easton Tpke
Ste 105
Lake Ariel, PA 18436
Phone (570) 689-4670

412 Como Rd
Lake Como, PA 18437
Phone (570) 775-7100

121 S Prospect St
Nanticoke, PA 18634
Phone 5704556385 ext. 255

5 Pethick Dr
Ste 1
Wilkes Barre, PA 18702
Phone (570) 203-7007

Organizations & group practices 5

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.

Hospital & facility affiliations 22

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665878400000",
    "number": "1376703769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PETHICK DR STE 1",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187026972",
            "telephone_number": "570-203-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MADISON AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185102401",
            "telephone_number": "570-343-2383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHADEVAN",
        "first_name": "ADHARSH",
        "middle_name": "PRAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-10",
        "last_updated": "2022-10-16",
        "certification_date": "2022-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD447909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.