| Organization Name: | DR. ALISON MEHTA DO LLC |
| NPI Number: | 1144616392 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALISON MILLER MEHTA (PHYSICIAN / MANAGER) |
| Mailing Address: | 112 Main St Suite 105 Northborough |
| State: | MA US |
| Postal Code: | 015321914 |
| Phone Number: | 5083937223 |
| Fax Number: | 5083937026 |
| NPI Enumeration Date: | 04/14/2015 |
| NPI Last Update Date: | 04/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0850X |
| License Number: | 236180 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Mental Health |
| Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |