Jitendra M. Patel, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

106981 Issued in MO

Practice address

528 E Main St
Park Hills, MO 63601-2634

Phone

(573) 431-3341

Fax

(573) 431-5205

NPI assigned

Dec 28, 2005

Last updated

Oct 12, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

• Reading Behavioral Healthcare, LLC

  dba Tower Behavioral Health

  • Adult Mental Health Clinic/Center
  • Reading, PA
  • NPI 1750997466
  Medicare reassignment NPD
• Midwest Behavioral Health LLC

  dba dba LifeStance Health

  • Psychiatry Physician
  • Evansville, IN
  • NPI 1427362201
  NPD
• Southeast Missouri Community Treatment Center, Inc.

  • Professional Counselor
  • Park Hills, MO
  • NPI 1720261639
  NPD (past)

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192147200000",
    "number": "1720065097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 506",
            "city": "PARK HILLS",
            "state": "MO",
            "postal_code": "636010506",
            "telephone_number": "573-431-0554",
            "fax_number": "573-431-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 E MAIN ST",
            "city": "PARK HILLS",
            "state": "MO",
            "postal_code": "636012634",
            "telephone_number": "573-431-3341",
            "fax_number": "573-431-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JITENDRA",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2007-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "106981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rochelle F Navis-Andrews, OTR
• Samantha Maria Neeley, LMT, LPN
• Michael J Nelson
• New Hope Residential Care, Inc
• Holly Lynn Noble, MACCCSLP
• Peachs, Inc
• Premier Muscle and Joint LLC
• Patricia A Presley, LCSW
• Angelita Pritchett, LCSW
• Anna Nicole Propst, DC

• Psychiatry Physician in Park Hills, MO
• Providers in Park Hills, MO by specialty
• Psychiatry Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; 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.