Active NPI
Farahnaz Maniei, ED.D
- Clinical Psychologist
- Brookline, MA
National Provider Identifier
1609947613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 4637
- Practice address
- 1842 Beacon St
Suite 404
Brookline, MA 02445-1930 - Phone
- (617) 730-9500
- Fax
- (617) 437-9440
- NPI assigned
- Nov 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 4637 | MA | Primary |
Addresses
Primary practice location
1842 Beacon St
Suite 404
Brookline, MA 02445-1930
Mailing address
1842 Beacon St
Suite 404
Brookline, MA 02445-1930
Phone (617) 730-9500
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4637 | MA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304035200000",
"number": "1609947613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1842 BEACON ST",
"address_2": "SUITE 404",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024451930",
"telephone_number": "617-730-9500",
"fax_number": "617-437-9440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1842 BEACON ST",
"address_2": "SUITE 404",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024451930",
"telephone_number": "617-730-9500",
"fax_number": "617-437-9440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANIEI",
"first_name": "FARAHNAZ",
"name_prefix": "Dr.",
"credential": "ED.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2011-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "4637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.