DR. MANJU PRADHAN PHD
NPI 1720122120
Psychologist - Counseling in Saint Louis, MO

Active since February 18, 2007PECOS EnrolledAccepts Medicare Assignment
1129 MACKLIND AVE, SAINT LOUIS, MO 63110(314) 534-0200(314) 534-7996 Get Directions Write a Review

NPPES record last updated: July 6, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Manju Pradhan Phd NPPES

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

DR. MANJU PRADHAN PHD (NPI 1720122120) is an individual counseling provider in Saint Louis, Missouri, licensed in New York (017882) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1720122120
Entity TypeIndividualFemale
Primary Taxonomy103TC1900X
Provider Legal NameDR. MANJU PRADHANCredential: PHD
Location Address1129 MACKLIND AVESaint Louis, MO 63110-1440
Mailing Address1129 Macklind AveSaint Louis, MO 63110-1440 · (314) 534-0200 · Fax (314) 534-7996
Fax(314) 534-7996
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateFebruary 18, 2007
Last NPPES UpdateJuly 6, 2009
✔ NPI 1720122120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · CounselingBehavioral Health & Social Service Providers
Taxonomy Code103TC1900X
License✔ Licensed in NY · 017882
Definition
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License 2006033337 (MO)
1129 MACKLIND AVE, Saint Louis, MO 63110

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Manju Pradhan 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 ID1254491467
PECOS Enrollment IDI20090728000422
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Manju Pradhan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
300 CADMAN PLZ W
Brooklyn, NY 11201
  • Reassigned Medicare billing, New York enrollment
  • 457 clinicians in this Medicare group
Cognitive & Behavioral
100 PARK AVE PH 7C
Fort Lee, NJ 07024
  • Reassigned Medicare billing, New York enrollment
  • 22 clinicians in this Medicare group
Clinical
2433 KNAPP ST STE 306
Brooklyn, NY 11235
  • Reassigned Medicare billing, New York enrollment
  • 436 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Nurse Practitioner (Psychiatric/Mental Health)
1129 MACKLIND AVE
SAINT LOUIS, MO 63110
Psychologist (Clinical)
1129 MACKLIND AVE
SAINT LOUIS, MO 63110
Psychiatry & Neurology (Psychiatry)
1129 MACKLIND AVE
SAINT LOUIS, MO 63110
Student in an Organized Health Care Education/Training Program
1129 MACKLIND AVE
SAINT LOUIS, MO 63110
Social Worker (Clinical)
1129 MACKLIND AVE
SAINT LOUIS, MO 63110
Physical Therapist
1129 MACKLIND AVE
SAINT LOUIS, MO 63110
Psychologist (Cognitive & Behavioral)
1129 MACKLIND AVE
SAINT LOUIS, MO 63110
Social Worker (Clinical)
1129 MACKLIND AVE
SAINT LOUIS, MO 63110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Manju Pradhan's NPI number?

The NPI number for Manju Pradhan is 1720122120. It was assigned to this individual provider in the NPPES registry on February 18, 2007.

Where is Manju Pradhan located?

Manju Pradhan practices at 1129 Macklind Ave, Saint Louis, MO 63110. The listed phone number is (314) 534-0200.

What is Manju Pradhan's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.

Is Manju Pradhan enrolled in Medicare?

Yes. Manju Pradhan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Manju Pradhan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Manju Pradhan reassigns Medicare benefits to 3 organizations: Che Senior Psychological Services, PC (Brooklyn, NY), Doppler Psychology Services At Home PC (Fort Lee, NJ) and Knapp Street Psychiatry, PC (Brooklyn, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Manju Pradhan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Manju Pradhan was last updated on July 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.