Provider Demographics
NPI:1831724996
Name:MEHTA, VINITA (PHD)
Entity type:Individual
Prefix:DR
First Name:VINITA
Middle Name:
Last Name:MEHTA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2111 WISCONSIN AVE NW APT 205
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007-2285
Mailing Address - Country:US
Mailing Address - Phone:202-607-1176
Mailing Address - Fax:
Practice Address - Street 1:2000 P ST NW STE 610
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-6920
Practice Address - Country:US
Practice Address - Phone:202-607-1176
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-10
Last Update Date:2020-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC1000994103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical