Individual provider Active NPI

Farhad Montazeri-Lemraski, MD

  • Psychiatry Physician
  • Hamden, CT
National Provider Identifier
1306136957
Registry record updated Dec 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
61719 Issued in CT
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

Updated by the provider on Dec 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
C03462MedicaidCT

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200806001974 CT Practitioner - PsychiatryPractitioner - Internal Medicine 8820414576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Internal Medicine
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

OrganizationSpecialtyStatusNew patients
Hope Behavioral CT LLC CurrentSince Oct 14, 2024 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

Verify at the official NPI Registry.