Active NPI
Chella Periyanayagam, PH.D.
- Psychologist
- Madisonville, KY
National Provider Identifier
1982885455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2007-102
- Practice address
- 99 Stagecoach Rd
Madisonville, KY 42431-8009 - Phone
- (270) 821-0480
- Fax
- (270) 821-0057
- NPI assigned
- Nov 26, 2007
- 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 | 2007-102 | KY | Primary |
Addresses
Primary practice location
99 Stagecoach Rd
Madisonville, KY 42431-8009
Mailing address
99 Stagecoach Rd
Madisonville, KY 42431-8009
Phone (270) 821-0480
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2007-102 | KY | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Associates Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Mt Washington, KY
- NPI 1902770530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196035200000",
"number": "1982885455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 STAGECOACH RD",
"city": "MADISONVILLE",
"state": "KY",
"postal_code": "424318009",
"telephone_number": "270-821-0480",
"fax_number": "270-821-0057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 STAGECOACH RD",
"city": "MADISONVILLE",
"state": "KY",
"postal_code": "424318009",
"telephone_number": "270-821-0480",
"fax_number": "270-821-0057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERIYANAYAGAM",
"first_name": "CHELLA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-26",
"last_updated": "2007-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "KY",
"license": "2007-102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madisonville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.