Pari Beyzavi, PH.D, L.M.F.T

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

881 Issued in MN

Practice address

4205 Lancaster LN N Ste 102
Plymouth, MN 55441-1702

Phone

(763) 551-1850

Fax

(763) 551-1851

NPI assigned

Dec 18, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338768000000",
    "number": "1609939198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 LANCASTER LN N STE 102",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554411702",
            "telephone_number": "763-551-1850",
            "fax_number": "763-551-1851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 LANCASTER LN N STE 102",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554411702",
            "telephone_number": "763-551-1850",
            "fax_number": "763-551-1851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEYZAVI",
        "first_name": "PARI",
        "name_prefix": "Dr.",
        "credential": "PH.D, L.M.F.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2012-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA  PROVIDER NUMBER",
            "identifier": "709660700",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN ID NUMBER",
            "identifier": "6607504",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica Cristine Bertani, D.P.T
• Rebecca Rowena Sullivan Bertram, PSYD,, LP
• Beth W Matthews
• Bethany Christian Services of Minnesota
• Better Health Medical Inc
• Alexander James Bezek, CRNA
• Prakhya Bhatnagar, MD
• Amber L Bickel, M.S., CF-SLP
• Sara Jean Bidler, LMFT
• Cassandra Rae Billiet, AU.D.

• Marriage & Family Therapist in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2012; 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.