Nishendu M. Vasavada, M.D., P.a.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

F2490 Issued in TX

Legal business name

NISHENDU M. VASAVADA, M.D., P.A.

Practice address

560 W Main St
Ste. 101
Lewisville, TX 75057-3629

Phone

(972) 221-1741

Fax

(972) 219-0057

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Debbie K. Johnson

Title

Office Manager

Phone

(972) 221-1741

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Lakeside Life Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Nishendu M. Vasavada, M.D.

  • Psychiatry Physician
  • Carrollton, TX
  • NPI 1952473589
  Medicare reassignment NPD

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312329600000",
    "number": "1700901022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 W MAIN ST",
            "address_2": "STE. 101",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573629",
            "telephone_number": "972-221-1741",
            "fax_number": "972-219-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 W MAIN ST",
            "address_2": "STE. 101",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573629",
            "telephone_number": "972-221-1741",
            "fax_number": "972-219-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NISHENDU M. VASAVADA, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2011-08-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "972-221-1741"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "F2490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220087501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0072MW",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200105540A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeside Life Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mai Thanh Nguyen
• Michael Nguyen, DDS
• Oanh Nguyen, PHARMD
• Suzanne Louise Nieves, LPC
• Nimisha Mehta MD PA
• Philomena Wangui Njuki
• Norma McCarthy, LPC & Associates
• Kallie Dawn Norred, LPC
• Alison Norris, M.S. CCC/SLP
• David S Norris, PT, MS

• Psychiatry Physician in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.