Shanthi Venkatachalam, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

F406029 Issued in NY

Practice address

1400 Wantagh Ave
Wantagh, NY 11793-2257

Phone

(631) 327-4868

NPI assigned

May 14, 2018

Sex

Female

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Heart and Soul Community CounselingGroup PAC ID 1951644657, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Heart & Soul Community Counseling

  • Clinical Social Worker
  • West Babylon, NY
  • NPI 1346223252

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Queens Nassau Psychiatric Services PLLC

  • Psychiatry Physician
  • New Hyde Park, NY
  • NPI 1508267113
  Medicare reassignment NPD
• Forest Hills Psychiatric Services, P.C

  • Specialist
  • Forest Hills, NY
  • NPI 1194880336
  NPD (past)

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1437649696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8104 248TH ST",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "114261719",
            "telephone_number": "631-374-4308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 WANTAGH AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117932257",
            "telephone_number": "631-327-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENKATACHALAM",
        "first_name": "SHANTHI",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-14",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NY",
            "license": "488472",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F406029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valor Physical Therapy, PLLC
• Kristy Marie Vano
• Annie Shiny Varghese
• Variety Child Learning Center
• Carol L Vehslage
• Robert Vichnis, L.C.S.W.
• Kristin L Vinson
• Patrick J Vitale, LCSW
• Linda Ann Viviano, MS, CCC-SLP
• Alison Waddell

• Psychiatric/Mental Health Nurse Practitioner in Wantagh, NY
• Providers in Wantagh, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.