Individual provider Active NPI

Nandita Chawla, PH.D

  • Psychologist
  • San Diego, CA
National Provider Identifier
1437216264
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY19898 Issued in CA
Practice address
3914 Murphy Canyon Rd
Ste. A170
San Diego, CA 92123-4491
Phone
(858) 279-6721
Fax
(858) 279-5440
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY19898 CA Primary

Addresses

Primary practice location

3914 Murphy Canyon Rd
Ste. A170
San Diego, CA 92123-4491

Mailing address

3914 Murphy Canyon Rd
Ste. A170
San Diego, CA 92123-4491
Phone (858) 279-6721

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110601000459 MN Practitioner - Clinical Psychologist 3577740455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Resilience CenterGroup PAC ID 3870993579, 8 clinicians

Practice addresses (Care Compare)

3006 Allegro Park LN SW
Suite 1
Rochester, MN 55902-4160
Phone (507) 540-0894

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY19898CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Resilience Center CurrentSince May 1, 2023 Accepting new patients
Barbara Pizzarello LCSW Inc. PastSince Oct 7, 2012 Accepting new patients

Locations

3006 Allegro Park Ln SW
Rochester, MN 55902
Phone (507) 421-9060

3006 Allegro Park Ln SW
Ste 1
Rochester, MN 55902
Phone (507) 540-0894

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437216264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3914 MURPHY CANYON RD",
            "address_2": "STE. A170",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234491",
            "telephone_number": "858-279-6721",
            "fax_number": "858-279-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3914 MURPHY CANYON RD",
            "address_2": "STE. A170",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234491",
            "telephone_number": "858-279-6721",
            "fax_number": "858-279-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAWLA",
        "first_name": "NANDITA",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY19898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.