Sujata Vaitheswaran, PH.D., IMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

M.1400031 Issued in OH

Practice address

3 W Main St Ste 202
Westerville, OH 43081-2195

Phone

(614) 407-5964

NPI assigned

Jul 7, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Relationships LLC

  • Community/Behavioral Health Agency
  • Columbus, OH
  • NPI 1346695574
  NPD (past)

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580601600000",
    "number": "1831572924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 W MAIN ST STE 202",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812195",
            "telephone_number": "614-407-5964",
            "fax_number": "614-859-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 W MAIN ST STE 202",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812195",
            "telephone_number": "614-407-5964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 W Columbus St",
            "address_purpose": "LOCATION",
            "city": "Pickerington",
            "state": "OH",
            "postal_code": "431471256",
            "country_code": "US",
            "telephone_number": "614-407-5964",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 W 5th Ave",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432122503",
            "country_code": "US",
            "telephone_number": "614-407-5964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAITHESWARAN",
        "first_name": "SUJATA",
        "name_prefix": "Dr.",
        "credential": "PH.D., IMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-07",
        "last_updated": "2020-02-02",
        "certification_date": "2020-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "F.1800072",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "M.1400031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Uptown Pharmacy LLC
• Uptown Westerville Healthcare LLC
• Usv Optical Inc.
• Julie Marie Utrup
• Megan Vaccarella
• Amy Elizabeth Valasek, M.D.
• Lok Wan Lei Valentas, MD
• Nicole Valentine
• Laura Jeanne Valle, APRN, CNM
• Luisa Vallejo

• Marriage & Family Therapist in Westerville, OH
• Providers in Westerville, OH by specialty
• Marriage & Family Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2020; 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.