Individual provider Active NPI

Anjali Shayal Chandra

  • Marriage & Family Therapist
  • Woodland, CA
National Provider Identifier
1669241477
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
143633 Issued in CA
Practice address
175 W Court St
Woodland, CA 95695-2913
Phone
(530) 661-4400
NPI assigned
Dec 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 143633 CA Primary

Addresses

Primary practice location

175 W Court St
Woodland, CA 95695-2913

Mailing address

2516 Sunrise Dr
Fairfield, CA 94533-1308
Phone (707) 816-7586

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240120000385 TX Practitioner - Marriage and Family Therapist 4385096890 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
143633CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Valley Indian Health Inc CurrentSince Jan 1, 2024 Accepting new patients
Northern Valley Indian Health Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

207 N Butte St
Willows, CA 95988
Phone (530) 934-4641

175 W Court St
Woodland, CA 95695
Phone (530) 661-4400

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1669241477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2516 SUNRISE DR",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945331308",
            "telephone_number": "707-816-7586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 W COURT ST",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956952913",
            "telephone_number": "530-661-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDRA",
        "first_name": "ANJALI",
        "middle_name": "SHAYAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-21",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "143633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland, CA

Sources for this page

Verify at the official NPI Registry.