Individual provider Active NPI

Amit Mohan, MD

  • Psychiatry Physician
  • Beachwood, OH
National Provider Identifier
1821219841
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35.097391 Issued in OH
Practice address
25700 Science Park Dr Ste 210
Beachwood, OH 44122-7328
Phone
(216) 450-1613
Fax
(216) 450-1614
NPI assigned
May 1, 2007
Last updated
Sep 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35.097391 OH Primary
Psychiatry Physician 2084P0800X 35-097391 OH
Psychiatry Physician 2084P0800X 50916 MN
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X 35.097391 OH

Addresses

Primary practice location

25700 Science Park Dr Ste 210
Beachwood, OH 44122-7328

Mailing address

25700 Science Park Dr Ste 210
Beachwood, OH 44122-7328
Phone (216) 450-1613

Other identifiers 2

IdentifierTypeStateIssuer
0058321MedicaidOH
ENROLLEDMedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, OH, AZ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20081024000496 MN Practitioner - Psychiatry 2668530387 Reassigns benefits to 1 organization
I20120105000801 OH Practitioner - PsychiatryPractitioner - Sleep Medicine 2668530387 Reassigns benefits to 2 organizations
I20241206001559 AZ Practitioner - Psychiatry 2668530387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Neurostim TMS Arizona PCGroup PAC ID 7012445240, 3 clinicians
Advanced Recovery Concepts, LLCGroup PAC ID 5991005860, 37 clinicians

Practice addresses (Care Compare)

1760 E Pecos Rd
Suite 312
Gilbert, AZ 85295-3203
Phone (480) 916-4610

25700 Science Park Dr
Suite 210
Beachwood, OH 44122-7328
Phone (216) 450-1613

7760 France Ave S
Suite 902
Bloomington, MN 55435-5800
Phone (888) 963-3467

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
50916MNMDPsychiatry Physician
35-097391OHMDPsychiatry Physician
35.097391OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Generations Behavioral Health-Youngstown, LLC CurrentSince Dec 26, 2018 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Advanced Recovery Concepts LLC Psychiatry CurrentSince Oct 13, 2015 Accepting new patients
Neurostim TMS Minnesota PC Psychiatry CurrentSince Jan 1, 2025 Accepting new patients
Neurostim TMS Arizona PC Psychiatry CurrentSince Oct 3, 2024 Accepting new patients
Axis Mental Health and Wellness Past Accepting new patients
University Hospitals Medical Group Inc PastSince Aug 11, 2019 Accepting new patients

Locations

1760 E Pecos Rd
Ste 312
Gilbert, AZ 85295
Phone (480) 916-4610

6991 E Camelback Rd
Ste D300
Scottsdale, AZ 85251
Phone (480) 386-7030

8901 E Mountain View Rd
Ste 130
Scottsdale, AZ 85258
Phone (480) 870-4910

7760 France Ave S
Ste 902
Bloomington, MN 55435
Phone (888) 963-3467

25700 Science Park Dr
Ste 210
Beachwood, OH 44122
Phone (216) 452-1613

4510 Dressler Rd NW
Canton, OH 44718
Phone (330) 494-5155

1730 W 25th St
Cleveland, OH 44113
Phone (216) 696-4300

630 E River St
Elyria, OH 44035
Phone (440) 329-7450

3591 Reserve Commons Dr
Ste 100
Medina, OH 44256
Phone (330) 721-6504

29055 Clemens Rd
#A
Westlake, OH 44145

196 Colonial Dr
Youngstown, OH 44505
Phone (234) 232-7500

5208 Mahoning Ave
Ste 209
Youngstown, OH 44515
Phone (330) 792-5247

9116 Gravelly Lake Dr SW
Ste 102
Lakewood, WA 98499
Phone (253) 200-5763

Interoperability endpoints

  • Direct secure messaging: amohanmd144654@direct.ccf.org
  • Direct secure messaging: arcpsychiatry.amitmohan@149614.advancedmd-direct.com
  • Direct secure messaging: neurostimtmsminnesota.amitmohan@161927.advancedmd-direct.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1821219841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25700 SCIENCE PARK DR STE 210",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441227328",
            "telephone_number": "216-450-1613",
            "fax_number": "216-450-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25700 SCIENCE PARK DR STE 210",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441227328",
            "telephone_number": "216-450-1613",
            "fax_number": "216-450-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAN",
        "first_name": "AMIT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35.097391",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35-097391",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "50916",
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "OH",
            "license": "35.097391",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0058321",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.