1306249826 NPI number — DR. SACHIN JAYANT KARNIK PH.D., LCSW, CPS

Table of content: DR. SACHIN JAYANT KARNIK PH.D., LCSW, CPS (NPI 1306249826)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306249826 NPI number — DR. SACHIN JAYANT KARNIK PH.D., LCSW, CPS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KARNIK
Provider First Name:
SACHIN
Provider Middle Name:
JAYANT
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PH.D., LCSW, CPS
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
KARNIK
Provider Other First Name:
SACHIN
Provider Other Middle Name:
JAYANT
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
PH.D., LCSW, CPS
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1306249826
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/29/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
201 MICHELLE CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEWARK
Provider Business Mailing Address State Name:
DE
Provider Business Mailing Address Postal Code:
19711-6769
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
302-650-3865
Provider Business Mailing Address Fax Number:
302-731-1514

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
201 MICHELLE CT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEWARK
Provider Business Practice Location Address State Name:
DE
Provider Business Practice Location Address Postal Code:
19711-6769
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
302-650-3865
Provider Business Practice Location Address Fax Number:
302-731-1514
Provider Enumeration Date:
09/29/2014

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  Q1-0000785 , registered in the state of DE ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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