KANCHAN PURI CLARK (NPI# 1649230509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649230509 |
| Entity Type | Individual |
| Full Name | KANCHAN PURI CLARK |
| Credential | MD |
| Practice Address |
382 Taylor Dr Danville VA 24541 |
| Practice Telephone | 4347734240 |
| Practice Fax Number | 4347734241 |
| Mailing Telephone | 4347734240 |
| Mailing Fax Number | 4347734241 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
VA0101057674 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
382 TAYLOR DR |
| City | DANVILLE |
| State | VA |
| Zip Code | 24541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700853785 | Randall Neal Morris | Pharmacist | 382 Taylor Dr, Danville, VA 24541-4023 | 2006-03-08 |
| 1477895332 | Mitchell Slattery | Pharmacist | 382 Taylor Dr, Danville, VA 24541-4023 | 2013-03-19 |
| 1093020505 | Wales Thottathikunnath George | Psychiatry & Neurology | 382 Taylor Dr, Danville, VA 24541-4023 | 2010-08-10 |
| 1295986222 | Kimberly Marie Gronemeyer | Psychologist | 382 Taylor Dr, Danville, VA 24541-4023 | 2008-10-08 |
| 1336283423 | Southern Virginia Mental Health Institute | Pharmacy | 382 Taylor Dr, Danville, VA 24541-4023 | 2007-02-20 |
| 1386704898 | Commonwealth of Virginia Department of Behavioral Health and Southern | Hospitalist | 382 Taylor Dr, Danville, VA 24541-4023 | 2006-12-12 |
| 1598823395 | Florence Schwinn Pointer | Pharmacist | 382 Taylor Dr, Danville, VA 24541-4023 | 2006-12-05 |
| 1235199175 | Suresh M Patel | Psychiatry & Neurology | 382 Taylor Dr, Southern Virginia Mental Health Institute, Danville, VA 24541-4023 | 2006-03-24 |
| 1235199100 | Donovan Deryl Clark | Psychiatry & Neurology | 382 Taylor Dr, Danville, VA 24541 | 2006-03-24 |
| 1124087754 | Sylvia Adair Mcfarling | Nurse Practitioner | 382 Taylor Dr, Danville, VA 24541-4023 | 2006-03-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104303551 | Damon Lee Simpson | Occupational Therapy Assistant | 1616 Maple Dr, Danville, VA 24541 | 2018-07-27 |
| 1578065041 | Strategic Therapy Associates, Inc. | Transportation Broker | 1225 W Main Street, Danville, VA 24541 | 2018-03-01 |
| 1790291078 | Vicente T Falgui Md PC | Internal Medicine | 990 Main Street, Suite 204, Danville, VT 24541 | 2017-12-21 |
| 1558884270 | Focus Point Mental Health, LLC | Community/Behavioral Health | 116 Magnolia Drive, Danville, VA 24541 | 2017-07-25 |
| 1073045522 | Brittney Paige Throckmorton-samples | Physical Therapist | 174 Executive Drive, Danville, VA 24541 | 2017-04-03 |
| 1114378106 | Laurie Rich Taylor | Nurse Practitioner | 541 Bridge Street, Suite 1, Danville, VA 24541 | 2016-06-30 |
| 1285085779 | Larry Keller | Counselor | 1555 Meadowview Dr Ste 5, Danville, VA 24541 | 2016-06-25 |
| 1952617474 | Joshua Home Family Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 223 Randolph Street, Danville, VA 24541 | 2010-08-21 |
| 1922274661 | Blankenship & Davis Opticians Inc | Eyewear Supplier (Equipment, not the service) | 625 West Main Street, Danville, VA 24541 | 2008-05-02 |
| 1750588307 | Tiffany Devon Clark | Physical Therapy Assistant | 432 Hermitage Dr., Danville, VA 24541 | 2007-06-28 |
| Find all providers in zip 24541 | ||||
| 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 |
|---|---|---|---|---|
| 1720600216 | Tms Interventions and Clinical Specialties Inc. | Psychiatry & Neurology | 4145 Blackhawk Plaza Cir Ste 201, Danville, CA 94506-4699 | 2020-05-07 |
| 1316328966 | Mental Wellness Access | Psychiatry & Neurology | 113 Rosemary Ln, Danville, VA 24541-4521 | 2015-06-09 |
| 1740604446 | Commonwealth Psychiatry, Pllc | Psychiatry & Neurology | 412 S 4th St Ste A, Danville, KY 40422-2007 | 2014-02-15 |
| 1962771725 | Fredrick Lasker | Psychiatry & Neurology | 121 Castleford Cir, Danville, CA 94526-3602 | 2011-12-23 |
| 1265695407 | Angela Clark Durham | Psychiatry & Neurology | 128 Daniel Dr, Danville, KY 40422-2527 | 2008-07-08 |
| 1497913552 | Central Kentucky Psychiatry, Pllc | Psychiatry & Neurology | 359 S 4th St Ste D, Danville, KY 40422-2078 | 2008-05-27 |
| 1194925198 | James Kirk Hartman | Psychiatry & Neurology | 390 Diablo Rd, Danville, CA 94526-3432 | 2007-07-19 |
| 1558588129 | Ronel Lee Lewis | Psychiatry & Neurology | 4185 Blackhawk Plaza Cir, Suite 210, Danville, CA 94506-4694 | 2007-04-18 |
| 1124241658 | Fred W Strickland Jr. | Psychiatry & Neurology | 307 Mill St, Danville, PA 17821-1966 | 2007-04-11 |
| 1053448811 | Keith Tolan | Psychiatry & Neurology | 132 Mill St, Suite B, Danville, PA 17821-1978 | 2007-02-28 |
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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.