Individual provider Active NPI

Kavita Joshi Subrahmanian, PH.D.

  • Clinical Psychologist
  • Marietta, GA
National Provider Identifier
1902248024
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
019931 Issued in NY
Practice address
1778 Millhouse Run
Marietta, GA 30066-8012
Phone
(407) 221-0124
NPI assigned
Jul 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 019931 NY Primary

Addresses

Primary practice location

1778 Millhouse Run
Marietta, GA 30066-8012

Mailing address

1778 Millhouse Run
Marietta, GA 30066-8012
Phone (407) 221-0124

Other names 1

  • Kavita Joshi Former name

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 Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456876800000",
    "number": "1902248024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1778 MILLHOUSE RUN",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300668012",
            "telephone_number": "407-221-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1778 MILLHOUSE RUN",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300668012",
            "telephone_number": "407-221-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBRAHMANIAN",
        "first_name": "KAVITA",
        "middle_name": "JOSHI",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-18",
        "last_updated": "2016-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "019931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAVITA",
            "last_name": "JOSHI",
            "credential": "PH.D,",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.