Individual provider Active NPI

Mauli A Verma, M.D.

  • Psychiatry Physician
  • Portage, MI
National Provider Identifier
1134322308
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301083534 Issued in MI
Practice address
2176 E Centre Ave
Portage, MI 49002-4420
Phone
(269) 459-1284
Fax
(269) 459-1297
NPI assigned
Jun 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301083534 MI Primary
Student in an Organized Health Care Education/Training Program 390200000X 4301083534 MI

Addresses

Primary practice location

2176 E Centre Ave
Portage, MI 49002-4420

Mailing address

2176 E Centre Ave Ste 302
Portage, MI 49002-4420
Phone (269) 459-1284

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130627000523 MI Practitioner - PsychiatryPractitioner - Neuropsychiatry 7214177005 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neuropsychiatry
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2176 E Centre Ave
Portage, MI 49002-4420
Phone (269) 459-1273

Hospital & facility affiliations

  • Bronson Methodist Hospital Hospital, Kalamazoo, MI, CCN 230017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301083534MIMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Kalamazoo County Community Mental Health Authority CurrentSince Mar 11, 2013 Accepting new patients
Synergy Neuropsychiatry, PC Psychiatry CurrentSince May 1, 2021 Accepting new patients
Kalamazoo County Community Mental Health Authority CurrentSince Mar 11, 2013 Accepting new patients
Teladoc Health Medical Group, P.a. Psychiatry Current Accepting new patients

Locations

615 E Crosstown Pkwy
Kalamazoo, MI 49001
Phone (269) 373-6000

141 E Michigan Ave
Ste 302
Kalamazoo, MI 49007
Phone (269) 459-1273

2030 Portage St
Kalamazoo, MI 49001
Phone (269) 553-7132

2750 Old Centre Rd
Ste 150
Portage, MI 49024
Phone (269) 598-5491

2176 E Centre Ave
Portage, MI 49002

2176 E Centre Ave
Ste 302
Portage, MI 49002

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EDDICD/Endpoint/EDDICD
  • Direct secure messaging: mauliverma@tdh.allscriptsdirect.net
  • FHIR API: https://api.platform.athenahealth.com/23687/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1134322308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2176 E CENTRE AVE STE 302",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490024420",
            "telephone_number": "269-459-1284",
            "fax_number": "269-459-1297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2176 E CENTRE AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490024420",
            "telephone_number": "269-459-1284",
            "fax_number": "269-459-1297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERMA",
        "first_name": "MAULI",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301083534",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4301083534",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, MI

Sources for this page

Verify at the official NPI Registry.