Individual provider Active NPI

Patrick Michael Szafran, PSY.D.

  • Clinical Psychologist
  • Salem, MA
National Provider Identifier
1396116133
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
11488 Issued in MA
Practice address
9 North St Unit 5
Salem, MA 01970-4183
Phone
(847) 868-0142
NPI assigned
Oct 19, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 11488 MA Primary
Clinical Psychologist 103TC0700X 071009159 IL

Addresses

Primary practice location

9 North St Unit 5
Salem, MA 01970-4183

Mailing address

101 Broadway
Salem, MA 01970-4506
Phone (847) 868-0142

Other practice location 1

3139 N Lincoln Ave Ste 224
Chicago, IL 60657-3122
Phone (847) 868-0142

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
071009159ILMDClinical Psychologist
11488MAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Patrick M. Szafran, Inc. CurrentSince Nov 9, 2021 Accepting new patients

Locations

3139 N Lincoln Ave
Ste 224
Chicago, IL 60657
Phone (847) 859-9862

9 North St
Unit 5
Salem, MA 01970
Phone (603) 716-6914

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": "1445212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1396116133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BROADWAY",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019704506",
            "telephone_number": "847-868-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 NORTH ST UNIT 5",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019704183",
            "telephone_number": "847-868-0142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3139 N Lincoln Ave Ste 224",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606573122",
            "country_code": "US",
            "telephone_number": "847-868-0142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SZAFRAN",
        "first_name": "PATRICK",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-19",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "11488",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071009159",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.