Individual provider Active NPI

Fatemeh Akbari, LP

  • Clinical Psychologist
  • Manchester, MO
National Provider Identifier
1013798420
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2023039818 Issued in MO
Practice address
142 Enchanted Pkwy Ste 100C
Manchester, MO 63021-5478
Phone
(314) 662-4233
NPI assigned
Oct 11, 2023
Last updated
Aug 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2023039818 MO Primary

Addresses

Primary practice location

142 Enchanted Pkwy Ste 100C
Manchester, MO 63021-5478

Mailing address

142 Enchanted Pkwy Ste 100C
Manchester, MO 63021-5478
Phone (314) 662-4233

Other names 1

  • Fatemeh Farzam Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2023039818MOMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Autism and Behavioral Spectrum LLC PastSince Apr 27, 2025 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1013798420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 ENCHANTED PKWY STE 100C",
            "city": "MANCHESTER",
            "state": "MO",
            "postal_code": "630215478",
            "telephone_number": "314-662-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 ENCHANTED PKWY STE 100C",
            "city": "MANCHESTER",
            "state": "MO",
            "postal_code": "630215478",
            "telephone_number": "314-662-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKBARI",
        "first_name": "FATEMEH",
        "credential": "LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-11",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2023039818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FATEMEH",
            "last_name": "FARZAM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Manchester, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.