Metta Psychiatry PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

METTA PSYCHIATRY PLLC

Practice address

3635 Bell Blvd Ste 203
Bayside, NY 11361-2097

Phone

(516) 320-8441

NPI assigned

Jan 16, 2024

Organization subpart

No

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

Authorized official

Name

Vivek Jayadeva, MDNPI 1922413780

Title

Practice Owner

Phone

(774) 503-0968

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vivek Jayadeva, MD

  • Psychiatry Physician
  • Rego Park, NY
  • NPI 1922413780

  Single Specialty

  Medicare reassignment NPD Authorized official
• Adebola Osewa, DNP, PMHNP, FNP

  • Family Nurse Practitioner
  • Forest Hills, NY
  • NPI 1033492327
  Medicare reassignment NPD
• Rafia Rehman

  • Mental Health Counselor
  • Bayside, NY
  • NPI 1740950344
  NPD
• Lakeia J. Bowman, LMHC

  • Mental Health Counselor
  • Niskayuna, NY
  • NPI 1851001051
  NPD (past)
• Oleg Isakov, MD

  • Psychiatry Physician
  • Rego Park, NY
  • NPI 1285738526
  NPD (past)
• Nadia Michel

  • Adult Health Nurse Practitioner
  • Bronx, NY
  • NPI 1417484981
  NPD (past)
• Richard Rice, PHD

  • Psychologist
  • Rego Park, NY
  • NPI 1588747976
  NPD (past)

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1992576102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3635 BELL BLVD STE 203",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612097",
            "telephone_number": "516-320-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 BELL BLVD STE 203",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612097",
            "telephone_number": "516-320-8441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "98120 Queens Blvd Ste 1C",
            "address_purpose": "LOCATION",
            "city": "Rego Park",
            "state": "NY",
            "postal_code": "113744414",
            "country_code": "US",
            "telephone_number": "516-320-8441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "METTA PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "JAYADEVA",
        "authorized_official_first_name": "VIVEK",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "774-503-0968",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna Nicole Meloro
• Diane Menna, LCAT, ATR-BC
• Anne Merard -Elie
• Desiree Merrell, M.D.
• Frank C Messineo, M.D.
• Janna Meyer
• Robert S. Meyers, PSYD
• Carmen Mezarina
• MG Therapy Services Inc
• Jennifer Mian

• Psychiatry Physician in Bayside, NY
• Providers in Bayside, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.