Individual provider Active NPI

Chandrakala Kathiravan, M.D

  • Psychiatry Physician
  • Wilmington, DE
National Provider Identifier
1437324753
Registry record updated Apr 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C1-0010196 Issued in DE
Practice address
1902A Maryland Ave
Wilmington, DE 19805-4605
Phone
(302) 656-7108
NPI assigned
Apr 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2018

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 C1-0010196 DE Primary

Addresses

Primary practice location

1902A Maryland Ave
Wilmington, DE 19805-4605

Mailing address

1902A Maryland Ave
Wilmington, DE 19805-4605
Phone (302) 656-7108

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131025000635 DE Practitioner - Psychiatry 3971752965 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Harmonious Mind LLCGroup PAC ID 9931126604, 5 clinicians

Practice addresses (Care Compare)

5189 W Woodmill Dr
Wilmington, DE 19808-4009
Phone (302) 633-6001

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
PHC Meadowwood, LLC CurrentSince Jan 10, 2025 Accepting new patients
Harmonious Mind LLC CurrentSince Oct 5, 2019 Accepting new patients
MBS Psychotherapy Services, LLC CurrentSince Nov 1, 2016 Accepting new patients
Debussy and Associates Behavioral Health LLC PastSince Nov 1, 2016 Accepting new patients

Locations

575 S DuPont Hwy
New Castle, DE 19720
Phone (302) 328-3330

5189 W Woodmill Dr
Wilmington, DE 19808
Phone (302) 633-6001

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524960000000",
    "number": "1437324753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902A MARYLAND AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198054605",
            "telephone_number": "302-656-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902A MARYLAND AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198054605",
            "telephone_number": "302-656-7108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATHIRAVAN",
        "first_name": "CHANDRAKALA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-28",
        "last_updated": "2018-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DE",
            "license": "C1-0010196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.