Active NPI
Hansa N. Mehta, MD
- Child & Adolescent Psychiatry Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- ME160646
- Practice address
- 10734 Cory Lake Dr
Tampa, FL 33647-2724 - Phone
- (408) 519-4420
- Fax
- (408) 519-4420
- NPI assigned
- Mar 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | C51342 | CA | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | ME160646 | FL | Primary |
Addresses
Primary practice location
10734 Cory Lake Dr
Tampa, FL 33647-2724
Mailing address
PO Box 917770
Orlando, FL 32891-0001
Other practice location 1
3515 E Fletcher Ave
Tampa, FL 33613-4706
Phone (813) 821-8038
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hmehta279614@direct.tgh.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1970
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4202 E Fowler Ave
Tampa, FL 33620-6750
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME160646 | FL | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Medical Service Association Inc | Current | Accepting new patients | |
| County of Santa Clara | Child & Adolescent Psychiatry | Current | Accepting new patients |
| University Medical Service Association Inc | Current | Accepting new patients | |
| University Medical Service Association Inc | Current | Accepting new patients | |
| Tampa General Hospital | Current | Accepting new patients | |
| County of Santa Clara | Past | Accepting new patients |
Locations
1215 1st St
Gilroy, CA 95020
Phone (408) 686-2360
1650 Las Plumas Ave
Ste K
San Jose, CA 95133
Phone (408) 272-6726
1075 E Santa Clara St
San Jose, CA 95116
Phone (408) 299-6175
751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110
1887 Monterey Hwy
Ste 205
San Jose, CA 95112
Phone (408) 494-1561
2221 Enborg Ln
San Jose, CA 95128
Phone (408) 885-6220
660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366
12901 Bruce B Downs Blvd
#62
Tampa, FL 33612
3515 E Fletcher Ave
Tampa, FL 33613
Phone (813) 974-2748
4202 E Fowler Ave
Stop SHS100
Tampa, FL 33620
Phone (813) 974-2331
Interoperability endpoints
- hmehta279614@direct.tgh.org
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 7
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.
-
- Physical Therapist
- Tampa, FL
- NPI 1992742324
-
dba Josefina Narvaez Mental Health Center MH Aoa
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1699885079
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Durable Medical Equipment & Medical Supplies
- Tampa, FL
- NPI 1194276576
-
- General Practice Physician
- Tampa, FL
- NPI 1326088295
-
dba SCVMC Physician Services
- Anesthesiology Physician
- San Jose, CA
- NPI 1588721500
Child & Adolescent Psychiatry
-
dba Fair Oaks Clinic MH Cyf
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sunnyvale, CA
- NPI 1386754869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1437273844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 917770",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328910001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10734 CORY LAKE DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336472724",
"telephone_number": "408-519-4420",
"fax_number": "408-519-4420"
}
],
"practiceLocations": [
{
"address_1": "3515 E Fletcher Ave",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336134706",
"country_code": "US",
"telephone_number": "813-821-8038",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEHTA",
"first_name": "HANSA",
"middle_name": "N.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2023-11-27",
"certification_date": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "C51342",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "FL",
"license": "ME160646",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hmehta279614@direct.tgh.org",
"affiliation": "N",
"address_1": "3515 E Fletcher Ave",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336134706",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.