Individual provider Active NPI

Methus Earth Hasassri, M.D.

  • Psychiatry Physician
  • Menlo Park, CA
National Provider Identifier
1154854206
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A157700 Issued in CA
Practice address
648 Menlo Ave Ste 1
Menlo Park, CA 94025-4713
Phone
(650) 468-0572
Fax
(641) 200-6359
NPI assigned
Apr 5, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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 A157700 CA Primary

Addresses

Primary practice location

648 Menlo Ave Ste 1
Menlo Park, CA 94025-4713

Mailing address

648 Menlo Ave Ste 1
Menlo Park, CA 94025-4713
Phone (650) 468-0572

Other names 1

  • Dr. Earth Hasassri Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2024 through Jul 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A157700CAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1154854206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 MENLO AVE STE 1",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254713",
            "telephone_number": "650-468-0572",
            "fax_number": "641-200-6359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 MENLO AVE STE 1",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254713",
            "telephone_number": "650-468-0572",
            "fax_number": "641-200-6359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASASSRI",
        "first_name": "METHUS",
        "middle_name": "EARTH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-05",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A157700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EARTH",
            "last_name": "HASASSRI",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Menlo Park, CA

Sources for this page

Verify at the official NPI Registry.