Farshid Afsarifard, PH.D. – Psychologist

Key facts

NPI: 1619004322
Entity type: Individual (NPI type 1)
Primary specialty: Psychologist 103T00000X
License: 6237 (OH)
Practice address: 8701 Mentor Ave
Mentor, OH 44060-6103
Phone: (440) 266-0770
Fax: (440) 266-0257
NPI assigned: Feb 28, 2007
Sex: Male
Sole proprietor: Yes

Organizations & group practices 2

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.

Premier Behavioral Health Services, LLC Clinical Psychologist · Mentor, OH · NPI 1184869786

Medicare reassignment Care Compare group OH
B. Sharif MD, Inc Psychiatry Physician · Mentor, OH · NPI 1922287382

NPD (past)

Medicare Care Compare profile

Specialty: Clinical Psychologist
Education: Other, 1999
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Telehealth: Offers telehealth services
Group practices: Premier Behavioral Health Services, LLC (7 clinicians)

Practice addresses (Care Compare)

8701 Mentor Ave
Mentor, OH 44060-6103
Phone (440) 266-0770

Merit-based Incentive Payment System (MIPS)

Final score: 75.18 of 100 (group)
Quality: 55.64
Improvement activities: 40
Cost: 76.42

Medicare participation

Medicare fee-for-service enrollment: Enrolled in OH
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20110128000843	OH	Practitioner - Clinical Psychologist	1557266293	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Philosophy

State licenses

License	State	Type	Specialty
6237	OH	MD	Psychologist

Practice roles

Organization	Specialty	Status	New patients
B. Sharif MD, Inc		Past since Dec 18, 2008	Accepting new patients

Interoperability endpoints

Direct secure messaging: fafsarifard218283@ehrdirect.uhhospitals.org

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Psychologist	103T00000X	6237	OH	Yes

Addresses

Primary practice location

8701 Mentor Ave
Mentor, OH 44060-6103

Mailing address

8701 Mentor Ave
Mentor, OH 44060-6103
Phone (440) 266-0770

Other identifiers

Identifier	Type	State	Issuer
2832813	Medicaid	OH

Other names

Farshid Afsarifard Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 31, 2020.

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1619004322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8701 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606103",
            "telephone_number": "440-266-0770",
            "fax_number": "440-266-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8701 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606103",
            "telephone_number": "440-266-0770",
            "fax_number": "440-266-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFSARIFARD",
        "first_name": "FARSHID",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "6237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2832813",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FARSHID",
            "last_name": "AFSARIFARD",
            "credential": "PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mentor, OH

All providers in Mentor, OH · Psychologist in Ohio

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.