Provider Demographics
NPI:1437275419
Name:MEHROTRA, RAJITA (MED)
Entity type:Individual
Prefix:MS
First Name:RAJITA
Middle Name:
Last Name:MEHROTRA
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:RAJITA
Other - Middle Name:
Other - Last Name:CAPOOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:78 PHILLIPS BROOKS RD
Mailing Address - Street 2:
Mailing Address - City:WESTWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02090-2022
Mailing Address - Country:US
Mailing Address - Phone:267-288-3650
Mailing Address - Fax:
Practice Address - Street 1:50 REDFIELD ST
Practice Address - Street 2:
Practice Address - City:DORCHESTER
Practice Address - State:MA
Practice Address - Zip Code:02122-3630
Practice Address - Country:US
Practice Address - Phone:339-888-4393
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALMHC10000250101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health