East Carolina Psychiatric Consultants,PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

31639 Issued in NC

Legal business name

EAST CAROLINA PSYCHIATRIC CONSULTANTS,PLLC

Practice address

916 Eleventh St
Goldsboro, NC 27534-1616

Phone

(919) 735-9119

Fax

(919) 735-9120

NPI assigned

Jun 5, 2007

Organization subpart

No

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

Authorized official

Name

Muthiah K. Sabanayagam, M.D.NPI 1356394050

Title

Owner

Phone

(919) 735-9119

Specialties & licenses 4

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 5

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

• Muthiah Krishnasamy Sabanayagam, M.D.

  • Psychiatry Physician
  • Goldsboro, NC
  • NPI 1356394050
  Medicare reassignment NPD Authorized official
• Muthaiya Pillai Krishnaraj, M.D.

  • Psychiatry Physician
  • Goldsboro, NC
  • NPI 1265443097
  Medicare reassignment NPD
• Robert Arne Newman, PH.D.

  • Psychologist
  • Cary, NC
  • NPI 1831383843
  NPD (past)
• John S. Dew, DO

  • Family Medicine Physician
  • Mount Vernon, WA
  • NPI 1740244193
  NPD (past)
• Jeffrey Siegel, MD

  • Neurology Physician
  • Ashland, KY
  • NPI 1952332132
  NPD (past)

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1891997334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 ELEVENTH ST",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275341616",
            "telephone_number": "919-735-9119",
            "fax_number": "919-735-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 ELEVENTH ST",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275341616",
            "telephone_number": "919-735-9119",
            "fax_number": "919-735-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST CAROLINA PSYCHIATRIC CONSULTANTS,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "SABANAYAGAM",
        "authorized_official_first_name": "MUTHIAH",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-735-9119",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "31639",
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "NC",
            "license": "31639",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NC",
            "license": "31639",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NC",
            "license": "31639",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "61101",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "019JV",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5909195",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.