F Khajavi MD Facp Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

F KHAJAVI MD FACP INC

Practice address

3 Woodland Rd Ste 418
Stoneham, MA 02180-1714

Phone

(781) 662-6213

Fax

(781) 665-9860

NPI assigned

Nov 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Farrokh Khajavi, M.D.

Title

President

Phone

(781) 662-6213

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 2

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

• Farrokh Khajavi-Noori, MD

  • Psychiatry Physician
  • Stoneham, MA
  • NPI 1073567749
  Medicare reassignment
• Maryelizabeth Flynn-Shaw, MSW

  • Clinical Social Worker
  • Stoneham, MA
  • NPI 1851366538
  NPD (past)

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195776000000",
    "number": "1457532194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WOODLAND RD STE 418",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021801714",
            "telephone_number": "781-662-6213",
            "fax_number": "781-665-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WOODLAND RD STE 418",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021801714",
            "telephone_number": "781-662-6213",
            "fax_number": "781-665-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F KHAJAVI MD FACP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-23",
        "last_updated": "2007-11-23",
        "status": "A",
        "authorized_official_last_name": "KHAJAVI",
        "authorized_official_first_name": "FARROKH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-662-6213",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2002019",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hamid R Esbah-Tabatabaie, D.M.D.
• Angelica R Espinosa-Louissaint, M.D.
• Adjannie Ishtar F. Estuita, PT
• Eugene a Mickey, DMD, MPH, PC
• Erin Stephanie Evans, RN, CNP
• Carolyn L Fallica, NP
• Family Care Centers PC
• Family Dental Care of Stoneham
• Kimberley P Farina, P.A.-C
• Kara Farrington, MSW

• Psychiatry Physician in Stoneham, MA
• Providers in Stoneham, MA by specialty
• Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2007; 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.