CRYSTAL SHIRISH MEHTA (NPI# 1972868313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972868313 |
| Entity Type | Individual |
| Full Name | CRYSTAL SHIRISH MEHTA |
| Credential | D.O. |
| Practice Address |
1522 W Morris St Indianapolis IN 46221-1629 |
| Mailing Address |
3403 E Raymond St Indianapolis IN 46203-4744 |
| Practice Telephone | 3179572500 |
| Practice Fax Number | 3179572520 |
| Mailing Telephone | (317) 957-2000 |
| Mailing Fax Number | 3179572050 |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2017-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
02004602A | IN | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
LL1562 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
1522 W MORRIS ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46221-1629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881681682 | Kathleen Anne Cohenour | Internal Medicine | 1522 W Morris St, Indianapolis, IN 46221-1629 | 2005-10-05 |
| 1053956987 | Tracy L Morrison | Nurse Practitioner | 1522 W Morris St, Indianapolis, IN 46221-1629 | 2019-11-14 |
| 1922544584 | Lori S. Fishburn | Nurse Practitioner | 1522 W Morris St, Indianapolis, IN 46221-1629 | 2017-01-06 |
| 1689128050 | Roshni Shah | Pharmacist | 1522 W Morris St, Indianapolis, IN 46221-1629 | 2016-08-15 |
| 1801251640 | Jamea A Umendu | Advanced Practice Midwife | 1522 W Morris St, Indianapolis, IN 46221-1629 | 2015-12-21 |
| 1396164182 | Alecia Fields | Obstetrics & Gynecology | 1522 W Morris St, Indianapolis, IN 46221-1629 | 2014-04-09 |
| 1609126804 | Angela Lyttle | Advanced Practice Midwife | 1522 W Morris St, Indianapolis, IN 46221-1629 | 2012-09-14 |
| 1386935344 | Kristen Lawlis Bendinger | Internal Medicine | 1522 W Morris St, Indianapolis, IN 46221-1629 | 2011-04-26 |
| 1649438128 | Anne V Gormley | Dentist | 1522 W Morris St, Indianapolis, IN 46221-1629 | 2008-05-30 |
| 1164610564 | Kristen Jean Bunch | Advanced Practice Midwife | 1522 W Morris St, Indianapolis, IN 46221-1629 | 2007-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598957474 | Kim M Malicoat | Occupational Therapy Assistant | 5019 Emmert Drive, Indianapolis, IN 46221 | 2007-08-14 |
| 1811066715 | Sarah A Wilson | Dentist | 3715 Kentucky Av, Suite B, Indianapolis, IN 46221 | 2006-11-06 |
| 1619074812 | Clarence H Thomas Md LLC | Family Medicine | 6021 Kentucky Avenue, Indianapolis, IN 46221 | 2006-09-20 |
| 1356326763 | Clarence Henry Thomas | Family Medicine | 6021 Kentucky Ave, Indianapolis, IN 46221 | 2005-12-08 |
| 1740443027 | Stacey Anne Ulery | Physical Therapy Assistant | 4851 Tincher Rd, Indianapolis, IN 46221 | 2008-07-07 |
| 1215019401 | Carol June Kauffman | Nurse Practitioner | 6021 Kentucky Avenue, Indianapolis, IN 46221 | 2006-10-19 |
| 1922096734 | William Vanosdol | Pediatrics | 2202 W Morris St, Indianapolis, IN 46221-1404 | 2005-10-06 |
| 1447644638 | Peter Rentsch | Specialist/Technologist | 1336 Shepard St, Indianapolis, IN 46221-1528 | 2015-03-25 |
| 1407288335 | Justine Shannon Larocca | Speech-Language Pathologist | 1450 S Reisner St, Indianapolis, IN 46221-1637 | 2013-08-01 |
| 1467575696 | Robert William Foster | Chiropractor | 1759 W Morris St, Indianapolis, IN 46221-1641 | 2007-04-10 |
| Find all providers in zip 46221 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841796943 | Larrilyn Louise Grant | Psychiatry & Neurology | 355 W 16th St Dept Of, Indianapolis, IN 46202-2207 | 2018-04-05 |
| 1275995698 | Shariff F Tanious | Psychiatry & Neurology | 355 W 16th St Ste 2364, Indianapolis, IN 46202-2279 | 2016-03-24 |
| 1962881318 | Kevin Gerard Masterson | Psychiatry & Neurology | 550 University Blvd # 3124, Indianapolis, IN 46202-5149 | 2015-05-19 |
| 1447665559 | Anne Roney Wessel | Psychiatry & Neurology | 5811 Kingsley Dr, Indianapolis, IN 46220-2712 | 2014-06-26 |
| 1538509476 | Joseph O'hara Niezer | Psychiatry & Neurology | 610 E Southport Rd Ste 200, Indianapolis, IN 46227-8592 | 2013-06-25 |
| 1982041018 | Kenneth Lee Smith II | Psychiatry & Neurology | 2323 Sandringham Cir, Indianapolis, IN 46214-2396 | 2013-05-30 |
| 1831432574 | Curtis Stennett | Psychiatry & Neurology | 563 W Westfield Blvd, Indianapolis, IN 46208 | 2013-04-01 |
| 1376804682 | Corey Allen Trobaugh | Psychiatry & Neurology | 1481 W 10th St # 116a, Richard L. Roudebush Va Medical Center, Indianapolis, IN 46202-2803 | 2012-06-04 |
| 1124347703 | Rachel B Yoder | Psychiatry & Neurology | 705 Riley Hospital Drive, Roc 4300, Indianapolis, IN 46202-5109 | 2010-05-22 |
| 1245462332 | Madelaine M Wohlreich | Psychiatry & Neurology | 5202 Potters Pike, Indianapolis, IN 46234-2934 | 2009-08-21 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46221 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.