Maitri Surinder Prakash Chand, PHD

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT001155 Issued in GA

Practice address

655 1St St
Macon, GA 31201-2852

Phone

(478) 301-5930

Fax

(478) 301-5932

NPI assigned

Oct 13, 2010

Last updated

Oct 13, 2010By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• The Corporation of Mercer University

  dba Mercer University Center for IDD Care

  • Multi-Specialty Clinic/Center
  • Macon, GA
  • NPI 1841171998
  NPD (past)

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

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286928000000",
    "number": "1417267360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4947",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312084947",
            "telephone_number": "478-301-2397",
            "fax_number": "478-301-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 1ST ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012852",
            "telephone_number": "478-301-5930",
            "fax_number": "478-301-5932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAND",
        "first_name": "MAITRI",
        "middle_name": "SURINDER PRAKASH",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-13",
        "last_updated": "2010-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT001155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorothy Chambers, LPC
• Chambless Eye Care LLC
• Cynthia Blair Chambless, MD
• Russell Chambless, OD
• Daniel S Chan, MD
• Julie W Chandler, RN
• Chandra Albritton Counseling Services
• Christopher Chang, NP
• Change the Tracts Inc
• Rao Chapala

• Marriage & Family Therapist in Macon, GA
• Providers in Macon, GA by specialty
• Marriage & Family Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; 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.