DR. BHARATHI EDDULA CHANGALA (NPI# 1093112021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093112021 |
| Entity Type | Individual |
| Full Name | DR. BHARATHI EDDULA CHANGALA |
| Practice Address |
434 W Kennedy Blvd Orlando FL 32810-6237 |
| Practice Telephone | 4078753700 |
| Mailing Telephone | 4078753700 |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2019-04-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
ME131649 | FL | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
ME131649 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 920 Madison Ave, 2nd Floor, Memphis, TN 381033438 | 9014482302 | 9014481477 |
| 3391 W Vine St # 303, Kissimmee, FL 347414665 | (407) 962-7449 | 4075635491 |
| Street Address |
434 W KENNEDY BLVD |
| City | ORLANDO |
| State | FL |
| Zip Code | 32810-6237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881682227 | Heather N Gillum | Psychiatry & Neurology | 434 W Kennedy Blvd, Orlando, FL 32810 | 2005-10-10 |
| 1205319175 | Victorious Living Counseling and Consulting LLC | Clinic/Center | 434 W Kennedy Blvd, Orlando, FL 32810-6237 | 2018-09-07 |
| 1346782398 | Tyson H Kuch | Registered Nurse | 434 W Kennedy Blvd, Orlando, FL 32810-6237 | 2016-11-08 |
| 1376936252 | Shelly Rice | Registered Nurse | 434 W Kennedy Blvd, Orlando, FL 32810-6237 | 2015-03-16 |
| 1548679194 | Bradley Sushko | Registered Nurse | 434 W Kennedy Blvd, Orlando, FL 32810-6237 | 2014-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708344 | Courtney Anne Bass | Psychologist | 5736 Eggleston Avenue, Orlando, FL 32810 | 2020-10-19 |
| 1598273666 | Taylor Elizabeth Marshall | Behavior Technician | 3701 Maitland Summit Blvd, Orlando, FL 32810 | 2018-01-11 |
| 1962920595 | Sister With Destiny | Adult Companion | 5214 N. O. B. T Apt 103, Orlando, FL 32810 | 2017-09-04 |
| 1710408992 | Denise Lynn Mezquia | Optometrist | 1800 Pembrook Dr Ste 120, Orlando, FL 32810 | 2017-06-28 |
| 1407380603 | Naho Hattori | Student in an Organized Health Care Education/Training Program | 1800 Pembrook Dr Ste 200, Orlando, FL 32810 | 2017-04-13 |
| 1245774801 | Elite Physical Therapy & Health Care Services | Community/Behavioral Health | 5104 North Orange Blossom Trail, Suite 119, Orlando, FL 32810 | 2016-12-15 |
| 1841746518 | Marie Yveline Mauger | Licensed Practical Nurse | 4400 Park Eden Cir, Orlando, FL 32810 | 2016-08-31 |
| 1548619950 | Predestined 4 Purpose Inc | Home Health | 6826 Gadwall Lane, Orlando, FL 32810 | 2016-06-07 |
| 1881058998 | Xuong Vong | Massage Therapist | 9301 Summit Centre Way, Maitland, FL 32810 | 2016-04-06 |
| 1760862726 | Edwin Colon | Case Management | 2660 Environs Blvd, Orlando, FL 32810 | 2015-06-04 |
| Find all providers in zip 32810 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558606442 | Orlando Pediatric Psychiatry LLC | Psychiatry & Neurology | 1505 E Michigan St, Orlando, FL 32806-4818 | 2012-12-03 |
| 1891097663 | Sylvia Budd Johnson | Psychiatry & Neurology | 10437 Moss Park Rd Ste B, Orlando, FL 32832-5812 | 2010-11-29 |
| 1679710032 | Cats of Orlando | Psychiatry & Neurology | 8427 Diamond Cove Cir, Orlando, FL 32836-6018 | 2009-01-07 |
| 1568665602 | Florida Psychiatric Center P A | Psychiatry & Neurology | 9430 Turkey Lake Rd Suit # 102, Orlando, FL 32819-8015 | 2007-06-07 |
| 1952513848 | B & T Partners LLC | Psychiatry & Neurology | 8751 Commodity Circle (3), Orlando, FL 32819 | 2007-05-04 |
| 1588036040 | Physicians Collaborative Affiliates, Inc. | Psychiatry & Neurology | 101 E Miller St, Orlando, FL 32806-2123 | 2015-10-23 |
| 1104186469 | Orlando Psychiatric Care LLC | Psychiatry & Neurology | 2345 Sand Lake Rd, Suite 200, Orlando, FL 32809-9142 | 2012-05-21 |
| 1962786483 | Millenia Psychiatry & Research, Inc. | Psychiatry & Neurology | 5323 Millenia Lakes Blvd, #121, Orlando, FL 32839-3392 | 2011-10-03 |
| 1982732707 | Nasreen Razack-malik | Psychiatry & Neurology | 2500 Discovery Dr, Orlando, FL 32826-3709 | 2007-03-01 |
| 1225188253 | Linda Bisnauth | Psychiatry & Neurology | 6601 Central Florida Parkway, Central Florida Behavioral Hospital, Orlando, FL 32821 | 2007-01-11 |
| Find all providers in ORLANDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.