Organization Active NPI

Sheela M. Kadekar, M.D. P.L.L.C.

  • Psychiatry Physician
  • Centreville, VA
National Provider Identifier
1629205489
Registry record updated Jun 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101240066 Issued in VA
Legal business name
SHEELA M. KADEKAR, M.D. P.L.L.C.
Practice address
5675 Stone Rd
Suite 320
Centreville, VA 20120-1667
Phone
(703) 402-2513
Fax
(703) 830-0001
NPI assigned
Jun 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2009

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

Authorized official

Name
Sheela Maria Kadekar, M.D.
Title
Psychiatrist
Phone
(703) 402-2513

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 0101240066 VA Primary

Addresses

Primary practice location

5675 Stone Rd
Suite 320
Centreville, VA 20120-1667

Mailing address

5675 Stone Rd
Suite 320
Centreville, VA 20120-1667
Phone (703) 402-2513

National Provider Directory

National Provider Directory

Locations

5675 Stone Rd
Ste 320
Centreville, VA 20120
Phone (703) 402-2513

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245283200000",
    "number": "1629205489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5675 STONE RD",
            "address_2": "SUITE 320",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201201667",
            "telephone_number": "703-402-2513",
            "fax_number": "703-830-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5675 STONE RD",
            "address_2": "SUITE 320",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201201667",
            "telephone_number": "703-402-2513",
            "fax_number": "703-830-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEELA M. KADEKAR, M.D. P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-18",
        "last_updated": "2009-06-18",
        "status": "A",
        "authorized_official_last_name": "KADEKAR",
        "authorized_official_first_name": "SHEELA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "703-402-2513",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101240066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; 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.