DR. CHANDRAKANTHI Y SIVALINGAM (NPI# 1205908894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205908894 |
| Entity Type | Individual |
| Full Name | DR. CHANDRAKANTHI Y SIVALINGAM |
| Credential | M.D. |
| Practice Address |
680 Langsdorf Dr Fullerton CA 92831-3702 |
| Practice Telephone | 7148719264 |
| Practice Fax Number | 7148715032 |
| Mailing Telephone | 7148719264 |
| Mailing Fax Number | 7148715032 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-03-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
A42767 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
680 LANGSDORF DR |
| City | FULLERTON |
| State | CA |
| Zip Code | 92831-3702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225072143 | Ken Vanderlip | Psychologist | 680 Langsdorf Dr, Suite 202, Fullerton, CA 92831-3702 | 2006-06-15 |
| 1902463532 | Angelina Elizabeth Spinuzzi | Student in an Organized Health Care Education/Training Program | 680 Langsdorf Dr, Fullerton, CA 92831-3702 | 2019-05-20 |
| 1699255596 | Jannmarc Monserrat | Student in an Organized Health Care Education/Training Program | 680 Langsdorf Dr, Fullerton, CA 92831-3702 | 2018-08-20 |
| 1144764077 | Stephanie Bautista | Student in an Organized Health Care Education/Training Program | 680 Langsdorf Dr, Suite 200, Fullerton, CA 92831-3702 | 2016-12-12 |
| 1861943482 | Kenya Gomez-tydor | Speech-Language Pathologist | 680 Langsdorf Dr, Suite 110, Fullerton, CA 92831-3702 | 2016-10-19 |
| 1790152692 | Leticia Teresa Garcia | Social Worker | 680 Langsdorf Dr, Suite 200, Fullerton, CA 92831-3702 | 2015-08-26 |
| 1972853265 | Jennifer Williams | Social Worker | 680 Langsdorf Dr, Ste. 219, Fullerton, CA 92831-3702 | 2012-09-13 |
| 1932486461 | Catherine Nguyen Tang | Social Worker | 680 Langsdorf Dr, Suite 219, Fullerton, CA 92831-3702 | 2011-11-11 |
| 1952606022 | Anita Lee Yokota | Marriage & Family Therapist | 680 Langsdorf Dr, Ste 219, Fullerton, CA 92831-3702 | 2011-01-20 |
| 1013233790 | Alexander Richter | Orthopaedic Surgery | 680 Langsdorf Dr, Suite 103, Fullerton, CA 92831-3702 | 2010-04-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982169280 | Jennifer Ann Carroll | Counselor | 2246 N. State College Blvd, Fullerton, CA 92831 | 2019-01-31 |
| 1043733736 | Jimmy K Bhatt | Dentist | 1126 E Commonweath Ave, Fullerton, CA 92831 | 2017-07-25 |
| 1447625090 | Kairos Management | Assisted Living Facility | 1621 E. Chapman Ave, Fullerton, CA 92831 | 2015-12-08 |
| 1407251630 | Sam's West, Inc | Technician/Technologist | 601 S Placentia Ave, Fullerton, CA 92831 | 2014-10-30 |
| 1114361813 | Teresa Kyu Thin Khoo | Internal Medicine | 1907 Deerpark Dr Apt 546, Fullerton, CA 92831 | 2013-04-24 |
| 1699020586 | Julia A Bock | Occupational Therapy Assistant | 1240 N Frances Avenue, Fullerton, CA 92831 | 2012-07-17 |
| 1649566225 | The Center for The Treatment of Addiction | Preferred Provider Organization | 104 N. Raymond Ave., A-2, Fullerton, CA 92831 | 2011-06-22 |
| 1366746877 | Leticia Vallejo | Rehabilitation Practitioner | 801 E.chapman Ave, Fullerton, CA 92831 | 2010-12-28 |
| 1083916860 | Angelica Victoria Norman | Counselor | 801 East Chapman Suite 203, Fullerton, CA 92831 | 2010-11-30 |
| 1457683237 | The Paradise | Home Delivered Meals | 659 S Sate College Blvd., Ste. 51, Fullerton, CA 92831 | 2010-02-04 |
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| 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] |
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| 1275190068 | Allan S Abrams Md Inc | Psychiatry & Neurology | 4726 Winnetka Ave, Woodland Hills, CA 91364-4737 | 2019-05-28 |
| 1225527427 | Better Life Therapy, Inc. | Psychiatry & Neurology | 9520 Escondido Canyon Rd, Santa Clarita, CA 91390-4811 | 2018-05-03 |
| 1821515099 | J. Kirk Hartman, M.d. | Psychiatry & Neurology | 3860 Blackhawk Rd # 120, Danville, CA 94506-4905 | 2017-08-28 |
| 1912432055 | Centered Health LLC | Psychiatry & Neurology | 6422 W 6th St, Los Angeles, CA 90048-4714 | 2017-04-26 |
| 1255871182 | Carol R Harrus | Psychiatry & Neurology | 517 Patricia Ln, Palo Alto, CA 94303-2856 | 2017-02-25 |
| 1437539509 | Ehab Yacoub, Md Inc. | Psychiatry & Neurology | 1225 W 190th St Ste 470, Gardena, CA 90248-4316 | 2015-06-04 |
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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.