Organization Active NPI

Haven Psychiatry, a Professional Medical Corporation

  • Psychiatry Physician
  • Roseville, CA
National Provider Identifier
1356202808
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
HAVEN PSYCHIATRY, A PROFESSIONAL MEDICAL CORPORATION
Practice address
2510 Douglas Blvd Ste 300
Roseville, CA 95661-3302
Phone
(279) 600-4411
Fax
(279) 600-4408
NPI assigned
Nov 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Moneeshindra Mittal, MDNPI 1255591442
Title
President
Phone
(279) 600-4411

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

2510 Douglas Blvd Ste 300
Roseville, CA 95661-3302

Mailing address

2510 Douglas Blvd Ste 300
Roseville, CA 95661-3302
Phone (279) 600-4411

Other names 1

  • Haven Psychiatry Doing business as

National Provider Directory

National Provider Directory

Locations

5841 Jameson Ct
Ste 2
Carmichael, CA 95608
Phone (916) 500-4989

2510 Douglas Blvd
Ste 300
Roseville, CA 95661
Phone (279) 600-4411

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1763769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770336000000",
    "number": "1356202808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 DOUGLAS BLVD STE 300",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613302",
            "telephone_number": "279-600-4411",
            "fax_number": "279-600-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 DOUGLAS BLVD STE 300",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613302",
            "telephone_number": "279-600-4411",
            "fax_number": "279-600-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN PSYCHIATRY, A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-22",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A",
        "authorized_official_last_name": "MITTAL",
        "authorized_official_first_name": "MONEESHINDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "279-600-4411",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haven Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; 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.