Provider Demographics
NPI:1811147358
Name:MEHTA, SACHI JHAVERI (PSYD, LPA)
Entity type:Individual
Prefix:DR
First Name:SACHI
Middle Name:JHAVERI
Last Name:MEHTA
Suffix:
Gender:F
Credentials:PSYD, LPA
Other - Prefix:
Other - First Name:SACHI
Other - Middle Name:J
Other - Last Name:JHAVERI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6012 BAYFIELD PKWY # 177
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28027-7597
Mailing Address - Country:US
Mailing Address - Phone:980-202-2109
Mailing Address - Fax:
Practice Address - Street 1:8212 VILLAGE HARBOR DR
Practice Address - Street 2:
Practice Address - City:CORNELIUS
Practice Address - State:NC
Practice Address - Zip Code:28031-3706
Practice Address - Country:US
Practice Address - Phone:980-202-2109
Practice Address - Fax:980-231-1977
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-21
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301013686103TC0700X
NC4821103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical