Harshad M. Mehta MD SC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036-51716 Issued in IL

Legal business name

HARSHAD M. MEHTA MD SC

Practice address

2850 W. 95TH Street
Suite 206
Evergreen Park, IL 60805

Phone

(708) 425-8900

Fax

(708) 425-9612

NPI assigned

Apr 3, 2012

Last updated

Apr 3, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Harshad M. Mehta, MDNPI 1407930100

Title

President

Phone

(708) 425-8900

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Harshad M Mehta, MD

  • Psychiatry Physician
  • Evergreen Park, IL
  • NPI 1407930100
  Medicare reassignment NPD Authorized official
• Shina Keaonis Gordon, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Downers Grove, IL
  • NPI 1295197697
  Medicare reassignment NPD
• Catherine M Klima, LCSW

  • Clinical Social Worker
  • Willow Springs, IL
  • NPI 1073564332
  NPD (past)
• Aarti Mehta

  • Psychiatry Physician
  • Burr Ridge, IL
  • NPI 1588823207
  NPD (past)

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333411200000",
    "number": "1629334743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 W. 95TH STREET",
            "address_2": "SUITE 206",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "60805",
            "telephone_number": "708-425-8900",
            "fax_number": "708-425-9612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 W. 95TH STREET",
            "address_2": "SUITE 206",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "60805",
            "telephone_number": "708-425-8900",
            "fax_number": "708-425-9612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARSHAD M. MEHTA MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-03",
        "last_updated": "2012-04-03",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "HARSHAD",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-425-8900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036-51716",
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "IL",
            "license": "036-51716",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036051716",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Patrick Hanlon, M.D.
• Saem Haque, MD
• Patricia A Hardmon, LCSW
• Linda Ruth Harper, PH.D.
• Jayla A Harrison
• Daniel F Haskins, DDS
• Ahmed Hassan, MS,PT
• Bilaal M Hassan, FNP-BC
• Mohamed Hassan, MHS,PT
• Hayat Home Medical Equipment

• Psychiatry Physician in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.