Active NPI
Sindhuja Shivaji, PSYD
- Psychologist
- Durham, NC
National Provider Identifier
1962122481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6463
- Practice address
- 5726 Fayetteville Rd Ste 101
Durham, NC 27713-6296 - Phone
- (919) 237-3321
- NPI assigned
- Sep 2, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6463 | NC | Primary |
Addresses
Primary practice location
5726 Fayetteville Rd Ste 101
Durham, NC 27713-6296
Mailing address
1012 9TH St Unit a
Durham, NC 27705-4107
Phone (662) 518-1135
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 3, 2023 through Nov 3, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6463 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698796800000",
"number": "1962122481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1012 9TH ST UNIT A",
"city": "DURHAM",
"state": "NC",
"postal_code": "277054107",
"telephone_number": "662-518-1135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5726 FAYETTEVILLE RD STE 101",
"city": "DURHAM",
"state": "NC",
"postal_code": "277136296",
"telephone_number": "919-237-3321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIVAJI",
"first_name": "SINDHUJA",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-02",
"last_updated": "2023-11-01",
"certification_date": "2023-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "6463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.