Individual provider Active NPI

Frank Milton Safran, PH.D.

  • Clinical Psychologist
  • Westport, CT
National Provider Identifier
1194931675
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1894 Issued in CT
Practice address
1 Turkey Hill Rd S
Westport, CT 06880-5525
Phone
(203) 221-4707
Fax
(203) 221-4708
NPI assigned
May 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1894 CT Primary

Addresses

Primary practice location

1 Turkey Hill Rd S
Westport, CT 06880-5525

Mailing address

1 Turkey Hill Rd S
Westport, CT 06880-5525
Phone (203) 221-4707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180213001788 CT Practitioner - Clinical Psychologist 2466712468 Practice locations: Westport, CT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
001894CTMDProfessional Counselor
1894CTMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194931675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TURKEY HILL RD S",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068805525",
            "telephone_number": "203-221-4707",
            "fax_number": "203-221-4708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TURKEY HILL RD S",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068805525",
            "telephone_number": "203-221-4707",
            "fax_number": "203-221-4708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFRAN",
        "first_name": "FRANK",
        "middle_name": "MILTON",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "1894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westport, CT

Sources for this page

Verify at the official NPI Registry.