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Export Provider Record NPI 1245596006
Chandratara, Pa
Organization Subpart: NO
Active
NPI Number1245596006
NPI TypeNPI-2 Organization
SpecialtyPsychologist, Prescribing (Medical)
Provider Details
NPI1245596006
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2012-04-05
Last Updated2016-04-15
Authorized OfficialSwati Ellendula
PSYCHIATRIST
Phone: 4692136400
Mailing Address4500 Hillcrest Rd Ste 115
Frisco, TX 75035-5418
United States
Phone: (469) 213-6400 | Fax: (469) 213-6473
📍 View Map
Primary Practice Address4500 Hillcrest Rd Ste 115
Frisco, TX 75035-5418
United States
Phone: (469) 213-6400 | Fax: (469) 213-6473
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)TX318504MEDICARE PTAN
Other (non-Medicare)TX363043MEDICARE PTAN
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes103TP0016X – Psychologist, Prescribing (Medical)TXN9542
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About NPI 1245596006

Chandratara, Pa is an organization registered in the CMS NPPES NPI Registry with NPI number 1245596006. The primary specialty listed is Psychologist, Prescribing (Medical). The organization is located in Frisco, TX. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2012-04-05. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1245596006?

NPI 1245596006 belongs to Chandratara, Pa, a Psychologist, Prescribing (Medical) in Frisco, TX. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1245596006 active?

The current status of NPI 1245596006 in the NPPES registry is Active. The record was last updated on 2016-04-15.

What specialty is NPI 1245596006?

NPI 1245596006 is classified under the taxonomy Psychologist, Prescribing (Medical). Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1245596006?

You can verify NPI 1245596006 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1245596006?

The primary practice address on file for NPI 1245596006 is 4500 Hillcrest Rd Ste 115, Frisco, TX 75035-5418. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1245596006 issued?

NPI 1245596006 was first issued (enumerated) on 2012-04-05. The NPPES record was last updated on 2016-04-15.

Practice Location Map

Chandratara, Pa is located at 4500 Hillcrest Rd Ste 115, Frisco, TX. Use the map below to find directions or verify the practice location.

📍 4500 Hillcrest Rd Ste 115, Frisco, TX 75035-5418  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Chandratara, Pa. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1245596006. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Psychologist, Prescribing (Medical)N9542TX
Data Verified from CMS NPPES Last synced: 2026-07-24 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162