Active NPI
Sachi Jhaveri Mehta, PSY.D., LPA
- Clinical Psychologist
- Cornelius, NC
National Provider Identifier
1811147358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 4821
- Practice address
- 8212 Village Harbor Dr
Cornelius, NC 28031-3706 - Phone
- (980) 202-2109
- Fax
- (980) 231-1977
- NPI assigned
- Sep 21, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301013686 | MI | |
| Clinical Psychologist | 103TC0700X | 4821 | NC | Primary |
Addresses
Primary practice location
8212 Village Harbor Dr
Cornelius, NC 28031-3706
Mailing address
6012 Bayfield Pkwy # 177
Concord, NC 28027-7597
Phone (980) 202-2109
Other practice location 1
2897 Roundtree Dr
Troy, MI 48083-2333
Phone (248) 680-0151
Other names 1
- Sachi J Jhaveri
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jul 1, 2024 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301013686 | MI | MD | Clinical Psychologist |
| 4821 | NC | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704412800000",
"number": "1811147358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6012 BAYFIELD PKWY # 177",
"city": "CONCORD",
"state": "NC",
"postal_code": "280277597",
"telephone_number": "980-202-2109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8212 VILLAGE HARBOR DR",
"city": "CORNELIUS",
"state": "NC",
"postal_code": "280313706",
"telephone_number": "980-202-2109",
"fax_number": "980-231-1977"
}
],
"practiceLocations": [
{
"address_1": "2897 Roundtree Dr",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "MI",
"postal_code": "480832333",
"country_code": "US",
"telephone_number": "248-680-0151",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEHTA",
"first_name": "SACHI",
"middle_name": "JHAVERI",
"name_prefix": "Dr.",
"credential": "PSY.D., LPA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-21",
"last_updated": "2024-01-05",
"certification_date": "2024-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301013686",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "4821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SACHI",
"last_name": "JHAVERI",
"middle_name": "J",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Cornelius, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.