Individual provider Active NPI

Justin Mohatt, MD

  • Child & Adolescent Psychiatry Physician
  • Carmel, CA
National Provider Identifier
1861417628
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
A104000 Issued in CA
Practice address
26621 Carmel Center PL Ste 202
Carmel, CA 93923-8657
Phone
(831) 772-2224
Fax
(831) 291-9861
NPI assigned
Jul 13, 2006
Last updated
Oct 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A104000 CA
Psychiatry Physician 2084P0800X MD00045172 WA
Child & Adolescent Psychiatry Physician 2084P0804X A104000 CA Primary
Child & Adolescent Psychiatry Physician 2084P0804X MD00045172 WA
Child & Adolescent Psychiatry Physician 2084P0804X 25944 NY

Addresses

Primary practice location

26621 Carmel Center PL Ste 202
Carmel, CA 93923-8657

Mailing address

26621 Carmel Center PL Ste 202
Carmel, CA 93923-8657
Phone (831) 772-2224

Other practice location 1

220 5th Ave Fl 11
New York, NY 10001-8017
Phone (713) 714-7778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A104000CAMDChild & Adolescent Psychiatry Physician
25944NYMDChild & Adolescent Psychiatry Physician
MD00045172WAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Associates of Malden, P.C. Psychiatry Past Accepting new patients
Overlake Medical Center & Clinics Past Accepting new patients

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, 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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1861417628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26621 CARMEL CENTER PL STE 202",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "939238657",
            "telephone_number": "831-772-2224",
            "fax_number": "831-291-9861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26621 CARMEL CENTER PL STE 202",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "939238657",
            "telephone_number": "831-772-2224",
            "fax_number": "831-291-9861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 5th Ave Fl 11",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100018017",
            "country_code": "US",
            "telephone_number": "713-714-7778",
            "fax_number": "920-280-4161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHATT",
        "first_name": "JUSTIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A104000",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD00045172",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A104000",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "WA",
            "license": "MD00045172",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "25944",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.