DR. LUKSHMI KAMAT PUTTANNIAH (NPI# 1407013543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407013543 |
| Entity Type | Individual |
| Full Name | DR. LUKSHMI KAMAT PUTTANNIAH |
| Credential | M.D. |
| Practice Address |
155 N Dean St 3rd Floor Englewood NJ 07631-2532 |
| Practice Telephone | 2013083585 |
| Practice Fax Number | 2013018895 |
| Mailing Telephone | 2013083585 |
| Mailing Fax Number | 2013018895 |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2012-08-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
25MA09060200 | NJ | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
243889 | NY | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
25MA09060200 | NJ | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
243889 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
155 N DEAN ST 3RD FLOOR |
| City | ENGLEWOOD |
| State | NJ |
| Zip Code | 07631-2532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457438343 | Carol J Dorfman, Ph.d. | Psychologist | 155 N Dean St, 3rd Floor, Englewood, NJ 07631-2532 | 2006-11-01 |
| 1457526634 | Academy Dental Associates, P.a. | Dentist | 155 N Dean St, Suite 2b, Englewood, NJ 07631-2532 | 2008-04-28 |
| 1669650727 | Alliance Hand and Physical Therapy, P.C. | Durable Medical Equipment & Medical Supplies | 155 N Dean St, Englewood, NJ 07631-2532 | 2008-01-31 |
| 1790975308 | Lauren Fenwick | Physical Therapist | 155 N Dean St, Englewood, NJ 07631-2532 | 2007-07-30 |
| 1205045929 | Ellen J Schwartz | Psychologist | 155 N Dean St, 3rd Floor, Englewood, NJ 07631-2532 | 2007-05-21 |
| 1467660522 | Richard D. Silverstein | Dentist | 155 N Dean St, Suite 2b, Englewood, NJ 07631-2532 | 2007-05-20 |
| 1598842494 | Carol J Dorfman | Psychologist | 155 N Dean St, 3rd Floor, Englewood, NJ 07631-2532 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447868922 | Sharmela Brijmohan | Student in an Organized Health Care Education/Training Program | 350 Engle Street Englewood Nj Department of Medicine, Englewood, NJ 07631 | 2020-07-21 |
| 1902422553 | Ross Tyrone Jensen Lavine | Student in an Organized Health Care Education/Training Program | 350 Engle Street, Department of Medicine, Englewood, NJ 07631 | 2020-06-19 |
| 1881235497 | Cbt and Psychodynamic Therapy Associates LLC | Social Worker | 245 Walnut Street, Englewood, NJ 07631 | 2019-10-04 |
| 1346895950 | Eb Care At Englewood, LLC | Assisted Living Facility | 412 South Van Brunt Street, Englewood, NJ 07631 | 2019-08-09 |
| 1730695727 | Maytal Elart | Spec/Tech, Cardiovascular | 151 E Palisades Ave, 16e, Englewood, NJ 07631 | 2017-12-28 |
| 1396259255 | Elizabeth Thottumalil Thomas | Counselor | 93 West Palisade Ave, Englewood, NJ 07631 | 2017-11-29 |
| 1992214381 | Englewood Orthopedics Group PC | Orthopaedic Surgery | 55 Smith St Unit 5653, Englewood, NJ 07631 | 2017-09-28 |
| 1639691579 | Jee Hoon Jang | Student in an Organized Health Care Education/Training Program | 350 Engle St., Englewood, NJ 07631 | 2017-07-12 |
| 1427570332 | Dan Ran Castillo | Student in an Organized Health Care Education/Training Program | 350 Engel Street, Engelwood, NJ 07631 | 2017-07-12 |
| 1275061392 | Thomas J Drexler | Counselor | 93 W. Palisades Ave, Englewood, NJ 07631 | 2017-06-02 |
| Find all providers in zip 07631 | ||||
| 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 |
|---|---|---|---|---|
| 1407003353 | Nathaniel Donson | Psychiatry & Neurology | 185 East Palisade Ave, Apt A-6, Englewood, NJ 07631 | 2008-08-22 |
| 1598796963 | Tulika S. Srivastava | Psychiatry & Neurology | 93 W. Palisades Avenue, Englewood, NJ 07631 | 2006-07-05 |
| 1215125356 | Naomi Stein Najman | Psychiatry & Neurology | 163 Engle St, Building #2, Englewood, NJ 07631-2535 | 2007-10-12 |
| 1194846477 | Justin Paltrowitz | Psychiatry & Neurology | 60 Grand Ave, Suite 102, Englewood, NJ 07631-3506 | 2007-04-03 |
| 1154412914 | M.lorraine Chiorazzi | Psychiatry & Neurology | 163 Engle St, Englewood, NJ 07631-2535 | 2006-09-27 |
| 1427066513 | Cheryl Ann Dasler | Psychiatry & Neurology | 155 Inverness Dr W, Suite 200, Englewood, CO 80112-5095 | 2006-08-04 |
| 1417926502 | Melissa L. Sinkus | Psychiatry & Neurology | 155 Inverness Dr W, Suite 110, Englewood, CO 80112-5095 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063059079 | Rr & C Associates | Psychiatry & Neurology | 705 Birchfield Dr, Mount Laurel, NJ 08054-4013 | 2019-12-09 |
| 1154888162 | St. Luke's Counseling Medical Center L.L.C. | Psychiatry & Neurology | 59 Seeley Ave, Kearny, NJ 07032-3120 | 2019-02-26 |
| 1194297614 | Childpsych Services, LLC | Psychiatry & Neurology | 940 Cedar Bridge Ave Fl 2, Brick, NJ 08723-4170 | 2018-12-21 |
| 1003279308 | Medisol, LLC | Psychiatry & Neurology | 226 Fisher Ave, Piscataway, NJ 08854-4833 | 2016-04-04 |
| 1043637465 | Jason Dean | Psychiatry & Neurology | 400 Frank W Burr Blvd # 6, Teaneck, NJ 07666-6839 | 2014-03-24 |
| 1184963837 | Prospect Psychiatric Services Limited Liability Company | Psychiatry & Neurology | 344 Prospect Ave Apt 1a, Hackensack, NJ 07601-2602 | 2013-01-31 |
| 1174870034 | Naomi Ambalu | Psychiatry & Neurology | 266 King George Rd Ste G, Warren, NJ 07059-5187 | 2012-08-10 |
| 1699022558 | Nanda Muthusawmy | Psychiatry & Neurology | 210 Malapardis Rd Ste 205, Cedar Knolls, NJ 07927 | 2012-08-10 |
| 1144512674 | Magalie Saint-lot Jacques | Psychiatry & Neurology | 31 Bridgewater Ct, Jackson, NJ 08527-4030 | 2011-05-03 |
| 1043501265 | Kathreen Tharwat Tadrous | Psychiatry & Neurology | 655 E. Jersey Sreet, Trinitas Regional Medical Center, Elizabeth, NJ 07206 | 2011-04-21 |
| Find all providers with the same taxonomy | ||||
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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.