CHAMPAKAMALA HONGANUR RAJANNA (NPI# 1598044133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598044133 |
| Entity Type | Individual |
| Full Name | CHAMPAKAMALA HONGANUR RAJANNA |
| Credential | M.D., |
| Practice Address |
189 Storrs Rd Mansfield Center CT 06250-1683 |
| Practice Telephone | 6466856671 |
| Mailing Telephone | 6466856671 |
| Enumeration Date | 2011-08-14 |
| Last Update Date | 2015-06-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
053738 | CT | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 0116024030 | VA | Student, Health Care |
| Street Address |
189 STORRS RD |
| City | MANSFIELD CENTER |
| State | CT |
| Zip Code | 06250-1683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477530665 | Karen Ann Daly | Psychiatry & Neurology | 189 Storrs Rd, Natchaug Hospital, Mansfield Center, CT 06250-1683 | 2005-12-28 |
| 1851916514 | Susan Grace Williams | Marriage & Family Therapist | 189 Storrs Rd, Mansfield Center, CT 06250-1683 | 2020-06-09 |
| 1164044467 | Jessica Marie Markure | Social Worker | 189 Storrs Rd, Mansfield Center, CT 06250-1683 | 2020-05-11 |
| 1972125441 | Moriah Irael Thibodeau | Social Worker | 189 Storrs Rd, Mansfield Center, CT 06250-1683 | 2020-05-07 |
| 1487275921 | Phoebe Ritrovato | Social Worker | 189 Storrs Rd, Mansfield Center, CT 06250-1683 | 2020-05-06 |
| 1679194492 | Otto Rothi | Student in an Organized Health Care Education/Training Program | 189 Storrs Rd, Mansfield Center, CT 06250-1683 | 2020-05-04 |
| 1144841180 | Julia Scarpellino | Counselor | 189 Storrs Rd, Mansfield Center, CT 06250-1683 | 2020-04-30 |
| 1821619073 | Brandy Petrone | Social Worker | 189 Storrs Rd, Mansfield Center, CT 06250-1683 | 2020-04-29 |
| 1689295883 | Ashley Perreira | Psychologist | 189 Storrs Rd, Mansfield Center, CT 06250-1683 | 2020-04-29 |
| 1700449410 | Allison Price | Marriage & Family Therapist | 189 Storrs Rd, Mansfield Center, CT 06250-1683 | 2019-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610765 | Rebecca Hinckley | Physical Therapist | 175 Stafford Road, Mansfield Center, CT 06250 | 2020-08-22 |
| 1649801184 | Kristine Leslie Dimartino | Marriage & Family Therapist | Natchaug Hospital Sachem House, 151 Storrs Road, Mansfield Center, CT 06250 | 2020-02-03 |
| 1942845508 | Philip Fank De Ricco | Massage Therapist | 590 Ash St, Mansfield, CT 06250 | 2019-11-07 |
| 1134772858 | Lauren Curtis | Counselor | 140 North Frontage Road, Mansfield Ctr, CT 06250 | 2019-07-22 |
| 1548747629 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 140 North Frontage Road, Room 171, Mansfield Center, CT 06250 | 2018-07-23 |
| 1366958480 | Mansfield Mental Health & Addiction Medicine | Psychiatry & Neurology | 18-e Ledgebrook Drive, 18-e, Mansfield Ctr, CT 06250 | 2017-12-27 |
| 1124499629 | Laura Jean Lassow | Social Worker | 70 Jacobs Hill Rd, Mansfield Center, CT 06250 | 2015-10-12 |
| 1508105891 | Raymond Karl Bopp | Surgery | 533 Wormwood Hill Road, Mansfield Center, CT 06250 | 2013-02-06 |
| 1992026900 | Carole Laurie Olderman | Social Worker | 189 Storrs Road, 06250, Natchaug Hospital, Mansfield, CT 06250 | 2010-06-14 |
| 1427384775 | Maurice Samuel Lapointe | Marriage & Family Therapist | 365 Storrs Road, Mansfield, CT 06250 | 2009-10-21 |
| Find all providers in zip 06250 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225293749 | Sarah Jane C. De Asis | Psychiatry & Neurology | 140 N Frontage Rd, Mansfield Center, CT 06250-1648 | 2008-07-24 |
| 1396938619 | Stanley Paul Dugan | Psychiatry & Neurology | 9 Overlook Dr, Mansfield Center, CT 06250-1621 | 2007-08-20 |
| 1699719120 | John Frederick Brown Haney | Psychiatry & Neurology | 354 Warrenville Rd, Mansfield Center, CT 06250-1130 | 2006-06-15 |
| 1477530665 | Karen Ann Daly | Psychiatry & Neurology | 189 Storrs Rd, Natchaug Hospital, Mansfield Center, CT 06250-1683 | 2005-12-28 |
| 1285113498 | Docplus, Pllc | Psychiatry & Neurology | 126 Storrs Rd, Mansfield Center, CT 06250-1641 | 2018-08-08 |
| 1689056897 | Stephanie Kuntz | Psychiatry & Neurology | 189 Storrs Rd, Mansfield Center, CT 06250-1683 | 2015-06-24 |
| 1679846109 | Mario Andres Caro Sabogal | Psychiatry & Neurology | 189 Storrs Rd, Mansfield Center, CT 06250-1683 | 2012-02-14 |
| 1992962708 | Jonathan Matthew Raub | Psychiatry & Neurology | 189 Storrs Rd, Natchaug Hospital, Mansfield Center, CT 06250-1683 | 2008-05-20 |
| 1063570646 | Craig Martin | Psychiatry & Neurology | 189 Storrs Rd, Mansfield Center, CT 06250-1683 | 2006-12-05 |
| 1548328735 | Paul Pentz | Psychiatry & Neurology | 189 Storrs Rd, Mansfield Center, CT 06250-1683 | 2006-12-04 |
| Find all providers in MANSFIELD CENTER | ||||
| City | MANSFIELD CENTER |
| Zip Code | 06250 |
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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.