Active NPI
Geetha D Chandrasekhar, M.D.
- Child & Adolescent Psychiatry Physician
- Baltimore, MD
National Provider Identifier
1811019292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- D0056045
- Practice address
- 9106 Philadelphia Rd
Suite 204
Baltimore, MD 21237-4329 - Phone
- (443) 742-5474
- Fax
- (410) 510-1134
- NPI assigned
- Apr 4, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | D0056045 | MD | Primary |
Addresses
Primary practice location
9106 Philadelphia Rd
Suite 204
Baltimore, MD 21237-4329
Mailing address
7982 Honeygo Blvd # 33
Baltimore, MD 21236-4919
Phone (443) 742-5474
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0056045 | MD | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Universal Counseling Services, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
- NPI 1154310225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811019292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7982 HONEYGO BLVD # 33",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212364919",
"telephone_number": "443-742-5474",
"fax_number": "410-510-1134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9106 PHILADELPHIA RD",
"address_2": "SUITE 204",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212374329",
"telephone_number": "443-742-5474",
"fax_number": "410-510-1134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANDRASEKHAR",
"first_name": "GEETHA",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MD",
"license": "D0056045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.