Active NPI
Justin Mohatt, MD
- Child & Adolescent Psychiatry Physician
- Carmel, CA
National Provider Identifier
1861417628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- A104000
- 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, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| A104000 | CA | MD | Child & Adolescent Psychiatry Physician |
| 25944 | NY | MD | Child & Adolescent Psychiatry Physician |
| MD00045172 | WA | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Psychiatric Hospital Unit
- Bellevue, WA
- NPI 1811904063
-
- Psychiatry Physician
- Malden, MA
- NPI 1699815910
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.