Active NPI
Chathapuram S Ramanathan, PH.D.
- Clinical Social Worker
- Southfield, MI
National Provider Identifier
1457542011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801072232
- Practice address
- 29220 Westbrook Pkwy
Southfield, MI 48076-5071 - Phone
- (248) 790-8937
- NPI assigned
- Aug 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801072232 | MI | Primary |
| Marriage & Family Therapist | 106H00000X | 4101005602 | MI |
Addresses
Primary practice location
29220 Westbrook Pkwy
Southfield, MI 48076-5071
Mailing address
29220 Westbrook Pkwy
Southfield, MI 48076-5071
Phone (248) 790-8937
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4101005602 | MI | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315785600000",
"number": "1457542011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29220 WESTBROOK PKWY",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480765071",
"telephone_number": "248-790-8937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29220 WESTBROOK PKWY",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480765071",
"telephone_number": "248-790-8937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMANATHAN",
"first_name": "CHATHAPURAM",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-07",
"last_updated": "2011-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801072232",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MI",
"license": "4101005602",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.