Sachdev Psychiatric Services, P.L.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

Legal business name

SACHDEV PSYCHIATRIC SERVICES, P.L.

Practice address

860 Century Medical Dr
Titusville, FL 32796-2141

Phone

(321) 267-8260

Fax

(321) 267-5106

NPI assigned

Jun 24, 2012

Last updated

Jun 25, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mira Sachdev, M.D.NPI 1982826335

Title

President

Phone

(561) 319-2120

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mira Sachdev, M.D.

  • Child & Adolescent Psychiatry Physician
  • Titusville, FL
  • NPI 1982826335
  NPD (past) Authorized official

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

{
    "created_epoch": "1340496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340582400000",
    "number": "1912260977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 CENTURY MEDICAL DR",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962141",
            "telephone_number": "321-267-8260",
            "fax_number": "321-267-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 CENTURY MEDICAL DR",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962141",
            "telephone_number": "321-267-8260",
            "fax_number": "321-267-5106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACHDEV PSYCHIATRIC SERVICES, P.L.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-24",
        "last_updated": "2012-06-25",
        "status": "A",
        "authorized_official_last_name": "SACHDEV",
        "authorized_official_first_name": "MIRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-319-2120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Glenn Rosen, DPM
• Shane Rosonina, DPT, PT
• Jenna Nicole Ross
• Andrew Joseph Ruffolo, RPH
• William Rylander, M.D.
• Mira Sachdev, M.D.
• Yash V Sachdev, M.D.
• Sachin R. Shenoy MD PA (Neurology, Headache and Pain Clinic)
• Sage Dental of Titusville, PLLC
• Nancy Y Said, RPH

• Child & Adolescent Psychiatry Physician in Titusville, FL
• Providers in Titusville, FL by specialty
• Child & Adolescent Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; 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.