Active NPI
Mona Patel Potter, MD
- Psychiatry Physician
- Wellesley Hills, MA
National Provider Identifier
1235113010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 223970
- Practice address
- 396 Washington St # 266
Wellesley Hills, MA 02481-6209 - Phone
- (855) 438-8331
- Fax
- (617) 928-8649
- NPI assigned
- Dec 5, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 223970 | MA | Primary |
Addresses
Primary practice location
396 Washington St # 266
Wellesley Hills, MA 02481-6209
Mailing address
5 Locke Lane
Lexington, MA 02420
Phone (615) 424-3398
Other practice location 1
820 Bear Tavern Road
West Trenton, NJ 08628
Phone (855) 438-8331
Other names 1
- Dr. Mona Parsottam Patel
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 223970 | MA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Instride Health Ma PC | Current | Accepting new patients | |
| Instride Health NJ PC | Current | Accepting new patients |
Locations
396 Washington St
Wellesley Hills, MA 02481
Phone (781) 514-5673
820 Bear Tavern Rd
Ewing, NJ 08628
Phone (415) 205-1229
Interoperability endpoints
- mona.patel@361010828083204.direct.elationemr.com
Organizations & group practices 2
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.
-
- Adolescent and Children Mental Health Clinic/Center
- Wellesley Hills, MA
- NPI 1124791439
-
- Adolescent and Children Mental Health Clinic/Center
- Ewing, NJ
- NPI 1972221935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666656000000",
"number": "1235113010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 LOCKE LANE",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "02420",
"telephone_number": "615-424-3398",
"fax_number": "617-928-8649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "396 WASHINGTON ST # 266",
"city": "WELLESLEY HILLS",
"state": "MA",
"postal_code": "024816209",
"telephone_number": "855-438-8331",
"fax_number": "617-928-8649"
}
],
"practiceLocations": [
{
"address_1": "820 Bear Tavern Road",
"address_purpose": "LOCATION",
"city": "West Trenton",
"state": "NJ",
"postal_code": "08628",
"country_code": "US",
"telephone_number": "855-438-8331",
"fax_number": "617-928-8649",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POTTER",
"first_name": "MONA",
"middle_name": "PATEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-05",
"last_updated": "2022-10-25",
"certification_date": "2022-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "223970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MONA",
"last_name": "PATEL",
"middle_name": "PARSOTTAM",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wellesley Hills, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.