Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SARATH KUMAR JAGANATHAN JAISHANKAR, MD
DeactivatedDR. SARATH KUMAR JAGANATHAN JAISHANKAR, MD is a Psychoanalysis healthcare provider located in PEORIA, Illinois. NPI 1306465893 is deactivated in the NPPES registry. Verify at CMS.
Psychoanalysis · PEORIA, IL
This NPI has been deactivated.
The record was deactivated on January 10, 2022.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1306465893
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 14, 2020 (1.7424657534247 yrs)
- Last Updated
- Jul 9, 2025
- Deactivated
- Jan 10, 2022
- License
-
036168632 (IL)
Practice Information
- Address
-
530 NE GLEN OAK AVEPEORIA, IL, 616373801Browse IL providers · Browse ZIP 61637
- Phone
- 3096552000
- Primary Specialty
-
Psychoanalysis
2084V0102X
Other Psychoanalysis Providers in PEORIA, IL
| Name | Credential | NPI |
|---|---|---|
| SARAH ELIZABETH PARKER | M.D. | 1699937888 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.