Mohsen Jalali Roudsari, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

285260 Issued in MA

Practice address

49 Hillside St
Fall River, MA 02720-5211

Phone

(508) 235-7200

NPI assigned

Jun 1, 2016

Last updated

Oct 12, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Psychiatry

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Commonwealth of MassachusettsGroup PAC ID 8820906860, 141 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southcoast Hospitals Group Hospital, Fall River, MA, CCN 220074

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Commonwealth of Massachusetts

  dba Corrigan Mental Health Center

  • Psychiatric Hospital
  • Fall River, MA
  • NPI 1194803288

  Single Specialty

  Medicare reassignment Care Compare group NPD
• The Commonwealth of Massachusetts

  dba Corrigan Mental Health Center

  • Psychiatric Hospital
  • Fall River, MA
  • NPI 1700964947
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Southcoast Hospitals Group, Inc

  dba Tobey Hospital

  • General Acute Care Hospital
  • Wareham, MA
  • NPI 1922024835
  Care Compare affiliation

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1487002234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 REGENCY PLZ APT 200",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029033126",
            "telephone_number": "617-851-3872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 HILLSIDE ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027205211",
            "telephone_number": "508-235-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JALALI ROUDSARI",
        "first_name": "MOHSEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-01",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "285260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Jackson, LICSW
• Shannon M Jacob
• Shifa Jacob
• Tracy Jacobson, MSPT
• Uma Kolli Jaladi, MD
• Kevin James
• Jamie Jancarik Hofmann
• Allison Jang, D.D.S.
• Judy Lee Jang, MD
• Jun Hum Jang

• Psychiatry Physician in Fall River, MA
• Providers in Fall River, MA by specialty
• Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.

Verify at the official NPI Registry.