Manjula Sathish, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0101257309 Issued in VA

Practice address

1902 Braeburn Dr Ste 130
Salem, VA 24153-7304

Phone

(540) 444-0460

Fax

(540) 444-0479

NPI assigned

Jan 26, 2008

Last updated

Jan 20, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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 1

Specialty

Psychiatry

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Alleghany Highlands Community ServicesGroup PAC ID 0840392544, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alleghany Highlands Community Services

  • Community/Behavioral Health Agency
  • Covington, VA
  • NPI 1730136151
  Medicare reassignment Care Compare group NPD
• Alleghany Highlands Community Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Covington, VA
  • NPI 1518055367
  NPD (past)
• Lewis Gale Physicians LLC

  • Internal Medicine Physician
  • Salem, VA
  • NPI 1902977705
  NPD (past)
• Mississippi Children's Home Society - Mypac

  • Mental Illness Community Based Residential Treatment Facility
  • Jackson, MS
  • NPI 1780873232
  NPD (past)

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

{
    "created_epoch": "1201305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1942487525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41740 DAISY MEADOW DR",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201481768",
            "telephone_number": "601-519-3681",
            "fax_number": "601-968-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 BRAEBURN DR STE 130",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537304",
            "telephone_number": "540-444-0460",
            "fax_number": "540-444-0479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 N West St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392021033",
            "country_code": "US",
            "telephone_number": "601-519-3681",
            "fax_number": "601-968-0028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SATHISH",
        "first_name": "MANJULA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-26",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MS",
            "license": "685L",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101257309",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MS",
            "license": "21982",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anup Palak Sanghvi, MD
• Avishek Sanjel Chhetri, MD
• Kelci Lauren Santoemma, MS, CCC-SLP
• Daniel Patrick Sapp, D.O.
• Mamta Sapra, M.D
• Robert Franklin Saul, M.D.
• Angela Saunders
• Nicholas Lee Saunders, R.N.
• Sally Phillips Saunders, M.ED, CCC-SLP
• Mihaela Alma Savu, DMD

• Psychiatry Physician in Salem, VA
• Providers in Salem, VA by specialty
• Psychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.