Praful Chandulal Mehta, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

23413 Issued in NC

Practice address

459 N Wendover Rd
Charlotte, NC 28211-1064

Phone

(704) 364-9171

NPI assigned

Mar 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Malti & P Mehta PA

  dba Piedmont Psychiatric Associates

  • Psychiatry Physician
  • Charlotte, NC
  • NPI 1285829721
  Medicare reassignment Authorized official
• Carolinas Medical Center

  dba Atrium Health Levine Children's Gastroenterology

  • Obstetrics & Gynecology Physician
  • Charlotte, NC
  • NPI 1275774333
  Medicare reassignment NPD
• Monarch

  • Community/Behavioral Health Agency
  • Albemarle, NC
  • NPI 1801116405
  Medicare reassignment NPD
• Malti and Mehta PA

  dba piedmont psychiatric associates

  • Psychiatry Physician
  • Charlotte, NC
  • NPI 1235326216
  NPD Authorized official
• Carolinas Medical Center

  dba CMC Psychiatry and Behavioral Health

  • Child & Adolescent Psychiatry Physician
  • Charlotte, NC
  • NPI 1356689996
  NPD
• Carolinas Medical Center

  dba Atrium Health Pharmacy Kenilworth

  • Community/Retail Pharmacy
  • Charlotte, NC
  • NPI 1982710554
  NPD
• Monarch

  • Community/Behavioral Health Agency
  • Wilmington, NC
  • NPI 1073267126
  NPD
• Monarch

  • Community/Behavioral Health Agency
  • Albemarle, NC
  • NPI 1972644334
  NPD
• Carolina Center for Counseling & Clinical Services, Inc.

  • Mental Health Counselor
  • Gastonia, NC
  • NPI 1689752651
  NPD (past)
• Carolinas Medical Center

  • General Acute Care Hospital
  • Charlotte, NC
  • NPI 1295789907
  NPD (past)
• Mecklenburg County

  dba Mecklenburg County Health Department - CAP Services

  • Case Management Agency
  • Charlotte, NC
  • NPI 1063554517
  NPD (past)
• Mind Balance Mental Health and Wellness, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Charlotte, NC
  • NPI 1376308825
  NPD (past)

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1376660530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 N WENDOVER RD",
            "address_2": "MALTI AND P MEHTA PA",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28211",
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "PRAFUL",
        "middle_name": "CHANDULAL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "23413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8958291",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anita Mehta, MD
• Malti Praful Mehta, MD
• Milap P. Mehta, M.D.
• Paras Mehta, MD
• Parshva Mehta
• Raj Kumar Mehta, MD
• Ravin Jayant Mehta, PA
• Reena Mehta
• Reena K Mehta, OTR
• Shivani Patel Mehta, MD

• Psychiatry Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.