NPIMap

Organization Active NPI

Shifa Health PLLC

  • Cognitive & Behavioral Psychologist
  • Mount Vernon, WA
National Provider Identifier
1356415327
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
MD00037423 Issued in WA
Legal business name
SHIFA HEALTH PLLC
Practice address
1103 Cleveland Ave
Mount Vernon, WA 98273-4215
Phone
(360) 336-6868
Fax
(360) 336-6866
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Rozina Lakhani, MD, MPHNPI 1174682371
Title
Managing Director
Phone
(360) 336-6868

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TB0200X MD00037423 WA Primary

Addresses

Primary practice location

1103 Cleveland Ave
Mount Vernon, WA 98273-4215

Mailing address

1103 Cleveland Ave
Mount Vernon, WA 98273-4215
Phone (360) 336-6868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040115000310 WA Part B Supplier - Clinic/Group Practice 9638070501 Receives reassigned benefits from 27 practitioners
Practice locations: Everett, WA; Mount Vernon, WA

National Provider Directory

National Provider Directory

Locations

120 E George Hopper Rd
Ste 104
Burlington, WA 98233
Phone (360) 757-6244

10333 19th Ave SE
Ste 109
Everett, WA 98208
Phone (425) 742-4600

1103 Cleveland Ave
Mount Vernon, WA 98273
Phone (360) 336-6868

Practitioners & affiliated clinicians

Practitioners 42

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356415327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 CLEVELAND AVE",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982734215",
            "telephone_number": "360-336-6868",
            "fax_number": "360-336-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 CLEVELAND AVE",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982734215",
            "telephone_number": "360-336-6868",
            "fax_number": "360-336-6866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIFA HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAKHANI",
        "authorized_official_first_name": "ROZINA",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "360-336-6868",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "WA",
            "license": "MD00037423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.