Individual provider Active NPI

Sanjai Miika Olavi Dayal, M.D.

  • Psychiatry Physician
  • Wilmington, NC
National Provider Identifier
1689000655
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2023-00573 Issued in NC
Practice address
4312 Henson Dr
Wilmington, NC 28405-7424
Phone
(910) 212-5008
Fax
(573) 240-9856
NPI assigned
Sep 22, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2023-00573 NC Primary

Addresses

Primary practice location

4312 Henson Dr
Wilmington, NC 28405-7424

Mailing address

4312 Henson Dr
Wilmington, NC 28405-7424
Phone (910) 212-5008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240214004449 NC Practitioner - Psychiatry 5092077487 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Porters Neck Psychological Services PLLCGroup PAC ID 9931394996, 3 clinicians

Practice addresses (Care Compare)

8044 Market St
Unit D
Wilmington, NC 28411-9384
Phone (910) 686-3505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Haven Mental Health PLLC CurrentSince Dec 1, 2025 Accepting new patients
Porters Neck Psychological Services, PLLC CurrentSince Dec 27, 2023 Accepting new patients

Locations

4312 Henson Dr
Wilmington, NC 28405
Phone (910) 212-5008

8044 Market St
#D
Wilmington, NC 28411
Phone (910) 686-3505

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": "1379808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1689000655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4312 HENSON DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284057424",
            "telephone_number": "910-212-5008",
            "fax_number": "573-240-9856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4312 HENSON DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284057424",
            "telephone_number": "910-212-5008",
            "fax_number": "573-240-9856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAYAL",
        "first_name": "SANJAI",
        "middle_name": "MIIKA OLAVI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-22",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2023-00573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.