Active NPI
Farhad Montazeri-Lemraski, MD
- Psychiatry Physician
- Hamden, CT
National Provider Identifier
1306136957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 61719
- Practice address
- 2321 Whitney Ave Ste 310
Hamden, CT 06518-3510 - Phone
- (203) 806-5351
- NPI assigned
- Apr 17, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 61719 | CT | |
| Psychiatry Physician | 2084P0800X | 61719 | CT | Primary |
Addresses
Primary practice location
2321 Whitney Ave Ste 310
Hamden, CT 06518-3510
Mailing address
2221 Town Walk Dr
Hamden, CT 06518-3704
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C03462 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200806001974 | CT | Practitioner - Psychiatry | 8820414576 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2005
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2321 Whitney Ave
Suite 310
Hamden, CT 06518-3510
Phone (203) 806-5351
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Behavioral CT LLC | Current | Accepting new patients |
Locations
2321 Whitney Ave
Ste 310
Hamden, CT 06518
Phone (203) 806-5351
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735084800000",
"number": "1306136957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2221 TOWN WALK DR",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065183704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2321 WHITNEY AVE STE 310",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065183510",
"telephone_number": "203-806-5351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTAZERI-LEMRASKI",
"first_name": "FARHAD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-17",
"last_updated": "2024-12-25",
"certification_date": "2024-12-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "61719",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "61719",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "C03462",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hamden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.