Individual provider Active NPI

Mona Patel Potter, MD

  • Psychiatry Physician
  • Wellesley Hills, MA
National Provider Identifier
1235113010
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
223970 Issued in MA
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

Updated by the provider on Oct 25, 2022

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 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 Former name

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

LicenseStateTypeSpecialty
223970MAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Instride Health Ma PC CurrentSince Oct 23, 2022 Accepting new patients
Instride Health NJ PC CurrentSince Oct 30, 2022 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.