Individual provider Active NPI

Christy Vadakkan

  • Psychiatry Physician
  • Miami, FL
National Provider Identifier
1881199040
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
OS17221 Issued in FL
Practice address
801 Brickell Ave Ste 800
Miami, FL 33131-2978
Phone
(954) 906-4945
NPI assigned
Mar 28, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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 OS17221 FL Primary

Addresses

Primary practice location

801 Brickell Ave Ste 800
Miami, FL 33131-2978

Mailing address

2701 Biscayne Blvd Apt 8103
Miami, FL 33137-5308

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC, PA, AL, WV, TX6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20240705001100 FL Practitioner - Psychiatry 3971942277
I20240807003064 NC Practitioner - Psychiatry 3971942277 Reassigns benefits to 1 organization
I20240827000429 PA Practitioner - Psychiatry 3971942277 Reassigns benefits to 2 organizations
I20241227000574 AL Practitioner - Psychiatry 3971942277 Reassigns benefits to 1 organization
I20250115003556 WV Practitioner - Psychiatry 3971942277 Reassigns benefits to 1 organization
I20260123001000 TX Practitioner - Psychiatry 3971942277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Nova Southeastern College of Osteo Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

257 Brodhead Rd
Bethlehem, PA 18017-8938
Phone (484) 526-2400

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4518WVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Penn State Health Medical Group, LLC CurrentSince Jan 1, 2025 Accepting new patients
West Virginia University Medical Corporation CurrentSince Oct 20, 2024 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
West Virginia University Medical Corporation Psychiatry CurrentSince Oct 20, 2024 Accepting new patients
St. Luke'S Physician Group, Inc. Psychiatry CurrentSince Aug 21, 2024 Accepting new patients
Mind Haven Psychiatry PLLC Psychiatry CurrentSince Jan 1, 2026 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Nov 1, 2024 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Jan 1, 2025 Accepting new patients
Penn State Health Medical Group, LLC Current Accepting new patients
Refresh Dallas LLC Psychiatry Current Accepting new patients
MCPC-11, LLC CurrentSince Aug 15, 2024 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Aug 21, 2024 Accepting new patients
Thrive Recovery Inc Psychiatry Past Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

35 Memorial Dr
Pinehurst, NC 28374
Phone (910) 715-3376

257 Brodhead Rd
Bethlehem, PA 18017
Phone (484) 503-3057

2200 Good Hope Rd
Enola, PA 17025
Phone (717) 981-8230

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

211 N 12th St
Lehighton, PA 18235
Phone (610) 377-1300

7000 US 287 Hwy
Arlington, TX 76001
Phone (817) 583-8080

5050 Quorum Dr
Ste 700
Dallas, TX 75254
Phone (214) 402-0101

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

930 Chestnut Ridge Rd
Morgantown, WV 26505
Phone (304) 293-5299

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1881199040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 BISCAYNE BLVD APT 8103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331375308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 BRICKELL AVE STE 800",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331312978",
            "telephone_number": "954-906-4945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VADAKKAN",
        "first_name": "CHRISTY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-28",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "OS17221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.