Roknedin Safavi, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

274160 Issued in MA

Practice address

Center for Healthy Aging
480 Maple St. Suite 201
Danvers, MA 01923

Phone

(978) 646-7070

Fax

(978) 750-6988

NPI assigned

Dec 27, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Northeast Hospital Corp.

  • Diabetes Educator Registered Nurse
  • Danvers, MA
  • NPI 1588861231
  NPD (past)
• Northeast Hospital Corporation

  • Critical Access Hospital
  • Danvers, MA
  • NPI 1508052218
  NPD (past)
• North East Ohio Health Services

  • Community/Behavioral Health Agency
  • Beachwood, OH
  • NPI 1770671562
  NPD (past)
• Therapeutic Solutions, Professional Corporation

  • Specialist
  • Chico, CA
  • NPI 1770742819
  NPD (past)

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524787200000",
    "number": "1669459152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CENTER FOR HEALTHY AGING",
            "address_2": "480 MAPLE ST. SUITE 201",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "01923",
            "telephone_number": "978-646-7070",
            "fax_number": "978-750-6988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTER FOR HEALTHY AGING",
            "address_2": "480 MAPLE ST. SUITE 201",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "01923",
            "telephone_number": "978-646-7070",
            "fax_number": "978-750-6988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFAVI",
        "first_name": "ROKNEDIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2018-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C55214",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "274160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC",
            "identifier": "34148208500",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0510012",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sabino Chiropractic Office, Inc.
• Joseph Manuel Sabino, D.C.
• Olivia Sabo
• Elizabeth Sacco
• Roger W. Sachs, D.D.S.
• Lechana Saint Surin
• Sandy Saint-Fort
• Esther Sainterling
• Tracy Elizabeth Salehi, LPN
• Jacob Salley, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; 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.