Individual provider Active NPI

Divya Kiran Chhabra, M.D.

  • Psychiatry Physician
  • Highland Heights, OH
National Provider Identifier
1902269020
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
151615 Issued in CA
Practice address
675 Alpha Dr Ste E-108
Highland Heights, OH 44143-2139
Phone
(305) 902-6347
NPI assigned
Apr 5, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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 151615 CA Primary

Addresses

Primary practice location

675 Alpha Dr Ste E-108
Highland Heights, OH 44143-2139

Mailing address

16514 Glorietta Turn
Houston, TX 77068-1452
Phone (281) 687-9735

Other practice location 1

401 Parnassus Ave # 984
San Francisco, CA 94143-2211
Phone (281) 687-9735

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20221026001216 NY Practitioner - Psychiatry 8729341482 Reassigns benefits to 2 organizations
I20240925003902 TX Practitioner - Psychiatry 8729341482 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
151615CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brave Medical P.C. CurrentSince Jun 1, 2024 Accepting new patients
Brave Health Medical Group PA CurrentSince Aug 1, 2024 Accepting new patients

Locations

1951 NW 7th Ave
Ste 300
Miami, FL 33136
Phone (305) 699-3101

1951 NW 7th Ave
Fl 3
Miami, FL 33136
Phone (305) 297-4749

73 Market St
Fl 3
Yonkers, NY 10710
Phone (800) 745-9563

675 Alpha Dr
Ste E108
Highland Heights, OH 44143

675 Town Square Blvd
Ste 200
Garland, TX 75040
Phone (305) 579-9538

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: divya.chhabra.2@23300.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1902269020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16514 GLORIETTA TURN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770681452",
            "telephone_number": "281-687-9735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 ALPHA DR STE E-108",
            "city": "HIGHLAND HEIGHTS",
            "state": "OH",
            "postal_code": "441432139",
            "telephone_number": "305-902-6347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Parnassus Ave # 984",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941432211",
            "country_code": "US",
            "telephone_number": "281-687-9735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHHABRA",
        "first_name": "DIVYA",
        "middle_name": "KIRAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-05",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "151615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Heights, OH

Sources for this page

Verify at the official NPI Registry.