Active NPI
Michelle M Mehta, MD
- Psychiatry Physician
- Ogema, MN
National Provider Identifier
1922202159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 63813
- Practice address
- White Earth Mental Health Clinic
40520 County Highway 34
Ogema, MN 56569 - Phone
- (218) 983-6325
- NPI assigned
- Jun 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 63813 | MN | Primary |
Addresses
Primary practice location
White Earth Mental Health Clinic
40520 County Highway 34
Ogema, MN 56569
Mailing address
PO Box 6682
Rochester, MN 55903-6682
Phone (218) 401-2187
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63813 | MN | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649980800000",
"number": "1922202159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6682",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559036682",
"telephone_number": "218-401-2187",
"fax_number": "832-324-6927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WHITE EARTH MENTAL HEALTH CLINIC",
"address_2": "40520 COUNTY HIGHWAY 34",
"city": "OGEMA",
"state": "MN",
"postal_code": "56569",
"telephone_number": "218-983-6325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHTA",
"first_name": "MICHELLE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-12",
"last_updated": "2022-04-15",
"certification_date": "2022-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MN",
"license": "63813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ogema, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.