Individual provider Active NPI

Mona Patel, PMHNP

  • Psychiatry Physician
  • Chesapeake, VA
National Provider Identifier
1154080547
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0024183248 Issued in VA
Practice address
4041 Taylor Rd Ste G
Chesapeake, VA 23321-5525
Phone
(757) 483-6404
Fax
(757) 483-0737
NPI assigned
Dec 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0024183248 VA Primary

Addresses

Primary practice location

4041 Taylor Rd Ste G
Chesapeake, VA 23321-5525

Mailing address

720 Coffee Court
Please Contact Me at Any Time. Thank You
Virginia Beach, VA 23462-1108
Phone (757) 389-2245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20221128000155 VA Practitioner - Psychiatry 7618345588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Churchland Psychiatric Associates PCGroup PAC ID 5799776654, 17 clinicians

Practice addresses (Care Compare)

4041 Taylor Rd
Suite G
Chesapeake, VA 23321-5525
Phone (757) 483-6404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Churchland Psychiatric Associates PC Psychiatry CurrentSince Sep 1, 2022 Accepting new patients

Locations

4041 Taylor Rd
Ste G
Chesapeake, VA 23321
Phone (757) 483-6404

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1154080547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 COFFEE COURT",
            "address_2": "PLEASE CONTACT ME AT ANY TIME. THANK YOU",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234621108",
            "telephone_number": "757-389-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 TAYLOR RD STE G",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215525",
            "telephone_number": "757-483-6404",
            "fax_number": "757-483-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MONA",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-13",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0024183248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.