NANDINI DATTA PHD
NPI 1356820757
Psychologist - Clinical Child & Adolescent in Palo Alto, CA

Q: What is Nandini Datta's NPI number?

The NPI number for Nandini Datta is 1356820757. It was assigned to this individual provider in the NPPES registry on August 7, 2018.

Q: What is Nandini Datta's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: When was this NPI record last updated?

The NPPES record for Nandini Datta was last updated on April 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 07, 2018PECOS EnrolledAccepts Medicare Assignment

725 WELCH RD, PALO ALTO, CA 94304(650) 497-8000 Get Directions Write a Review

NPPES record last updated: April 28, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 28, 2024, Jun 13, 2023, Aug 7, 2018 (3 updates tracked since 2018).

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About Nandini Datta Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NANDINI DATTA PHD (NPI 1356820757) is an individual clinical child & adolescent provider in Palo Alto, California, licensed in California (PSY34007) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Duke University School Of Medicine (2019).

NPPES Registry Identity

NPI1356820757

Entity TypeIndividualFemale

Primary Taxonomy103TC2200X

Provider Legal NameNANDINI DATTACredential: PHD

Location Address725 WELCH RDPalo Alto, CA 94304-1601

Mailing Address725 Welch RdPalo Alto, CA 94304-1601 · (650) 497-8000

Phone(650) 497-8000

Sole ProprietorNo

Medical School CMSDuke University School Of MedicineGraduated 2019

Enumeration DateAugust 7, 2018

Last NPPES UpdateApril 28, 20243 updates tracked since enumeration

NPPES CertifiedApril 28, 2024

✔ NPI 1356820757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in CA · PSY34007

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Also ListedPsychologistTaxonomy 103T00000X · License PSY34007 (CA)

725 WELCH RD, Palo Alto, CA 94304

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nandini Datta Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678938834

PECOS Enrollment IDI20230424001536

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EIRI INENAGA MS, OTR/L

Occupational Therapist (Pediatrics)