Active NPI
Haresh S Mehta, M.D.
- Psychiatry Physician
- Roseville, MI
National Provider Identifier
1538190038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 4301041505
- Practice address
- 25869 Kelly Rd
Suite a
Roseville, MI 48066-4997 - Phone
- (586) 773-6020
- Fax
- (586) 773-6093
- NPI assigned
- Jul 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 4301041505 | MI | |
| Geriatric Psychiatry Physician | 2084P0805X | 4301041505 | MI | |
| Psychiatry Physician | 2084P0800X | 4301041505 | MI | Primary |
Addresses
Primary practice location
25869 Kelly Rd
Suite a
Roseville, MI 48066-4997
Mailing address
25869 Kelly Rd
Suite a
Roseville, MI 48066-4997
Phone (586) 773-6020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2754840 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
25869 Kelly Rd
Suite a
Roseville, MI 48066-4997
Phone (586) 773-6020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301041505 | MI | MD | Geriatric Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Biological Psychiatry Center, P.C. | Psychiatry | Current | Accepting new patients |
| Biological Psychiatry Center, PC | Psychiatry | Current | Accepting new patients |
Locations
22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248
25869 Kelly Rd
Ste A
Roseville, MI 48066
Phone (586) 773-6020
Interoperability endpoints
- hmehta1141236@direct.hfhs.org
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707868800000",
"number": "1538190038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25869 KELLY RD",
"address_2": "SUITE A",
"city": "ROSEVILLE",
"state": "MI",
"postal_code": "480664997",
"telephone_number": "586-773-6020",
"fax_number": "586-773-6093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25869 KELLY RD",
"address_2": "SUITE A",
"city": "ROSEVILLE",
"state": "MI",
"postal_code": "480664997",
"telephone_number": "586-773-6020",
"fax_number": "586-773-6093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHTA",
"first_name": "HARESH",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2024-02-14",
"certification_date": "2024-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MI",
"license": "4301041505",
"primary": false
},
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "MI",
"license": "4301041505",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301041505",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2754840",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.