Active NPI
Sumitra Balachandran, PSY.D., M.A., M.S.
- Psychologist
- New York, NY
National Provider Identifier
1457813909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 022085-1
- Practice address
- 80 5TH Ave
New York, NY 10011-8002 - Phone
- (347) 776-1915
- NPI assigned
- Apr 3, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 022085-1 | NY | Primary |
Addresses
Primary practice location
80 5TH Ave
New York, NY 10011-8002
Mailing address
80 5TH Ave RM 1503
New York, NY 10011-8002
Phone (347) 776-1915
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
- Master of Arts, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022085-1 | NY | MD | Psychologist |
| 022085 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555804800000",
"number": "1457813909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 5TH AVE RM 1503",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100118002",
"telephone_number": "347-776-1915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 5TH AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100118002",
"telephone_number": "347-776-1915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALACHANDRAN",
"first_name": "SUMITRA",
"name_prefix": "Dr.",
"credential": "PSY.D., M.A., M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-03",
"last_updated": "2019-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "022085-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.