Pankaj Manocha, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0063185 Issued in CO

Practice address

5314 Maryland Way Suite 110
Brentwood, TN 37027

Phone

(844) 291-4535

Fax

(615) 866-3643

NPI assigned

Jan 15, 2016

Last updated

Sep 7, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1437516861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5314 MARYLAND WAY SUITE 110",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "37027",
            "telephone_number": "844-291-4535",
            "fax_number": "615-866-3643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5314 MARYLAND WAY SUITE 110",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "37027",
            "telephone_number": "844-291-4535",
            "fax_number": "615-866-3643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 E MARSHALL ST",
            "address_purpose": "LOCATION",
            "city": "richmond",
            "state": "VA",
            "postal_code": "23298",
            "country_code": "US",
            "telephone_number": "404-407-0117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANOCHA",
        "first_name": "PANKAJ",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-15",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "0063185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Dunn Malone
• Faith Rose Malstrom
• Victoria L Mamin, LCSW
• Manding Care Inc
• Julie Ann Mann, LMSW
• Misty Mantooth
• Lacie Dawn Marable, CNM, NP-C
• Sadrack Marcelin
• Amy Mariaskin, PH.D.
• Leah Margaret Strope Markos, AUD

• Psychiatry Physician in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Psychiatry Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.