Organization Active NPI

Dar Medical Personal Corporation

Doing business as Psychiatry Haven

  • Psychiatry Physician
  • Waltham, MA
National Provider Identifier
1588430730
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
DAR MEDICAL PERSONAL CORPORATION
Doing business as
Psychiatry Haven
Practice address
36 River St Apt 150
Waltham, MA 02453-8368
Phone
(631) 885-5491
Fax
(631) 350-0444
NPI assigned
Nov 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Authorized official

Name
Dr. Sabrina Dar, MDNPI 1659866069
Title
President
Phone
(631) 885-5491

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
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

36 River St Apt 150
Waltham, MA 02453-8368

Mailing address

36 River St Apt 150
Waltham, MA 02453-8368
Phone (631) 885-5491

Other names 1

  • Psychiatry Haven Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241007003152 MA Part B Supplier - Clinic/Group Practice 6800327487 Receives reassigned benefits from 1 practitioner
Practice locations: Waltham, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1588430730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 RIVER ST APT 150",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024538368",
            "telephone_number": "631-885-5491",
            "fax_number": "631-350-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 RIVER ST APT 150",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024538368",
            "telephone_number": "631-885-5491",
            "fax_number": "631-350-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAR MEDICAL PERSONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-29",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "DAR",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-885-5491",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Psychiatry Haven",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waltham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.