Provider Type Icon

CHANDRATARA PA NPI 1245596006


NPI Information

NPI: 1245596006
Provider Name: CHANDRATARA, PA
Classification: Psychologist - 103TP0016X
Entity Type: Organization

Specialization: Prescribing (Medical)

Address:
4500 HILLCREST RD STE 115
FRISCO, TX
ZIP 75035
Phone: (469) 213-6400
Get Directions

CHANDRATARA, PA is a prescribing (medical) psychologist in Frisco, TX. The provider is a licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. CHANDRATARA, PA NPI is 1245596006. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4500 HILLCREST RD STE 115
FRISCO, TX
ZIP 75035-418
Phone: (469) 213-6400
Fax: (469) 213-6473

The provider's authorized official is Swati Ellendula .
The authorized official title is Psychiatrist and has the following contact phone number (469) 213-6400.

The enumeration date for this NPI number is 4/5/2012 and was last updated on 4/15/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TP0016XPsychologistPrescribing (Medical)N9542TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1318504OTHERTEXASMEDICARE PTAN
2363043OTHERTEXASMEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.