DR. AMBALAPETTA KODAKKAT VASUDEVAN


Address: 320 Shipyard Drive, Lot 42, Cambridge, MD 21613-2460
Phone: 4102212959

DR. AMBALAPETTA KODAKKAT VASUDEVAN (NPI# 1902118045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902118045
Entity Type Individual
Full Name DR. AMBALAPETTA KODAKKAT VASUDEVAN
Credential M.D.
Practice Address 320 Shipyard Drive
Lot 42
Cambridge
MD 21613-2460
Practice Telephone 4102212959
Mailing Telephone 4102212959
Enumeration Date 2010-07-06
Last Update Date 2010-07-06
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
D19091 MD Allopathic & Osteopathic Physicians

Office Location

Street Address 320 SHIPYARD DRIVE
LOT 42
City CAMBRIDGE
State MD
Zip Code 21613-2460

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Taxonomy Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942819784 Bluesky Telepsych, Inc. Psychiatry & Neurology 125 Cambridge Park Drive, Suite 306, Cambridge, MA 02140 2020-07-28
1336569599 Whitney Carroll Mcfadden Psychiatry & Neurology 214 Chestnut St Apt 4, Cambridge, MA 02139-4640 2014-04-25
1235556614 Elizabeth Janopaul-naylor Psychiatry & Neurology 1493 Cambridge St Macht Building, Cambridge Health Alliance, Cambridge, MA 02139-1047 2014-03-24
1538320056 Jennifer M Neuwalder Psychiatry & Neurology 875 Massachusetts Ave Ste 45, Cambridge, MA 02139-3067 2008-06-18
1811165822 Leah Joan Dickstein Psychiatry & Neurology 35 Walden St, Apt 2g, Cambridge, MA 02140-2047 2008-02-12
1053505297 Carl B Nelson Psychiatry & Neurology 988 Memorial Dr, Apt 386, Cambridge, MA 02138-5784 2007-08-30
1952511065 Jamie Lynn Feldman Psychiatry & Neurology 6 Garden Ter, Cambridge, MA 02138-1407 2007-05-23
1295953867 Ariel David Otero Psychiatry & Neurology 205 Walden St, Apt 1a, Cambridge, MA 02140-3507 2007-04-20
1962626424 Carola Eisenberg Psychiatry & Neurology 9 Clement Cir, Cambridge, MA 02138-2205 2007-04-13
1861513012 John C Kuehnle Psychiatry & Neurology 4 Hurlbut St, Cambridge, MA 02138-1604 2007-04-03
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City CAMBRIDGE
Zip Code 21613

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Dataset Information

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.

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