Individual provider Active NPI

Jyotsna A Mhatre, MD

  • Psychiatry Physician
  • Worcester, MA
National Provider Identifier
1265458806
Registry record updated Nov 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
41813 Issued in MA
Practice address
425 Lake Ave N
Ste 101
Worcester, MA 01605-2047
Phone
(508) 753-3220
Fax
(508) 753-3224
NPI assigned
Jul 15, 2006
Last updated
Nov 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2019

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 41813 MA Primary

Addresses

Primary practice location

425 Lake Ave N
Ste 101
Worcester, MA 01605-2047

Mailing address

425 Lake Ave N
Ste 101
Worcester, MA 01605-2047
Phone (508) 753-3220

Other identifiers 7

IdentifierTypeStateIssuer
984965OtherNETWORK HEALTH
J04655OtherBLUE CROSS BLUE SHIELD
260028311OtherRAILROAD MEDICARE
3000389MedicaidMA
3547819OtherHEALTHSOURCE CMHC
041813OtherTUFTS COMMUNITY HEALTH PL
220889OtherHARVARD PILGRIM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050328000834 MA Practitioner - Psychiatry 2264488733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Psych Services LLCGroup PAC ID 2961667498, 19 clinicians

Practice addresses (Care Compare)

425 Lake Ave N
Suite 101
Worcester, MA 01605-2073
Phone (508) 753-3220

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Psych Services, LLC Psychiatry CurrentSince May 1, 2012 Accepting new patients
Advanced Psych Services, LLC CurrentSince May 11, 2025 Accepting new patients
Centrus Premier Home Care Inc Past Accepting new patients
Prescott Health Care Psychiatry Past Accepting new patients
Island Counseling Center, P.C. Psychiatry Past Accepting new patients

Locations

108 Grove St
Worcester, MA 01605
Phone (508) 753-3220

425 Lake Ave N
Ste 101
Worcester, MA 01605
Phone (508) 753-3220

Interoperability endpoints

  • Direct secure messaging: jyotsna.mhatre@iccworcester.direct.emds.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1265458806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 LAKE AVE N",
            "address_2": "STE 101",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052047",
            "telephone_number": "508-753-3220",
            "fax_number": "508-753-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 LAKE AVE N",
            "address_2": "STE 101",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052047",
            "telephone_number": "508-753-3220",
            "fax_number": "508-753-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MHATRE",
        "first_name": "JYOTSNA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "41813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH",
            "identifier": "984965",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "J04655",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "260028311",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3000389",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSOURCE CMHC",
            "identifier": "3547819",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS COMMUNITY HEALTH PL",
            "identifier": "041813",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "220889",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.