Active NPI
Malti & P Mehta PA
- Psychiatry Physician
- Charlotte, NC
National Provider Identifier
1285829721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 23413
- Legal business name
- MALTI & P MEHTA PA
- Doing business as
- Piedmont Psychiatric Associates
- Practice address
- 459 N Wendover Rd
Charlotte, NC 28211-1064 - Phone
- (704) 364-9171
- Fax
- (704) 364-0176
- NPI assigned
- Sep 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Praful C Mehta, MD
- Title
- President
- Phone
- (764) 364-9171
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 23413 | NC | Primary |
| Psychiatry Physician | 2084P0800X | 24017 | NC |
Addresses
Primary practice location
459 N Wendover Rd
Charlotte, NC 28211-1064
Mailing address
459 N Wendover Rd
Charlotte, NC 28211-1064
Phone (704) 364-9171
Other names 1
- Piedmont Psychiatric Associates
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2577 Pembroke Rd
Gastonia, NC 28054
Phone (704) 867-9601
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Charlotte, NC
- NPI 1376660530
-
- Psychiatry Physician
- Charlotte, NC
- NPI 1265659965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189123200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1248998400000",
"number": "1285829721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "459 N WENDOVER RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282111064",
"telephone_number": "704-364-9171",
"fax_number": "704-364-0176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "459 N WENDOVER RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282111064",
"telephone_number": "704-364-9171",
"fax_number": "704-364-0176"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MALTI & P MEHTA PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-07",
"last_updated": "2009-07-31",
"status": "A",
"authorized_official_last_name": "MEHTA",
"authorized_official_first_name": "PRAFUL",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "764-364-9171",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "23413",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "24017",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Piedmont Psychiatric Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.