Nargis Mozafari

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY60914378 Issued in WA

Practice address

620 W 1St St
Wapato, WA 98951-1108

Phone

(509) 877-4111

Fax

(509) 877-7349

NPI assigned

Aug 6, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Yakima Valley Farm Workers Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Yakima, WA
  • NPI 1295788602

  WA

  Medicare reassignment NPD
• Yakima Valley Farm Workers Clinic

  • Federally Qualified Health Center (FQHC)
  • Toppenish, WA
  • NPI 1508817313
  NPD
• Yakima Valley Farm Workers Clinic

  • Federally Qualified Health Center (FQHC)
  • Clatskanie, OR
  • NPI 1578000345
  NPD

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1194134825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 W 1ST ST",
            "city": "WAPATO",
            "state": "WA",
            "postal_code": "989511108",
            "telephone_number": "509-877-4111",
            "fax_number": "509-877-7349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W 1ST ST",
            "city": "WAPATO",
            "state": "WA",
            "postal_code": "989511108",
            "telephone_number": "509-877-4111",
            "fax_number": "509-877-7349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1608 Road 44",
            "address_purpose": "LOCATION",
            "city": "Pasco",
            "state": "WA",
            "postal_code": "993012667",
            "country_code": "US",
            "telephone_number": "509-543-9280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOZAFARI",
        "first_name": "NARGIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-06",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60914378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Franco Gutierrez
• Stacy Hackenmueller, M.S., R.D., C.D.
• Roy Hernandez
• Katie Klingele, ATC
• Laboratory Corporation of America
• Eric G. Nelson, DDS
• Ana Isabel Oliva
• Bonnie Oxford, FNP
• Darla Jo Peterson, CP60471341
• Rd LLC

• Clinical Psychologist in Wapato, WA
• Providers in Wapato, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.