Organization Active NPI

Pasco Family Psychological Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Land O Lakes, FL
National Provider Identifier
1679192918
Registry record updated Apr 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PASCO FAMILY PSYCHOLOGICAL SERVICES LLC
Practice address
19439 Shumard Oak Dr Unit 102
Land O Lakes, FL 34638-7277
Phone
(813) 553-7675
Fax
(813) 553-7337
NPI assigned
Apr 15, 2020
Organization subpart
Yes
Parent organization
NASRIN ERFANIANAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 15, 2020

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

Authorized official

Name
Dr. Nasrin Erfanian, PH.D., BCBA-D
Title
Psychologist, Behavior Analyst
Phone
(813) 553-7675

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

19439 Shumard Oak Dr Unit 102
Land O Lakes, FL 34638-7277

Mailing address

19439 Shumard Oak Dr Unit 102
Land O Lakes, FL 34638-7277
Phone (813) 553-7675

Other identifiers 1

IdentifierTypeStateIssuer
1568776870OtherFLNPPES

Other names 1

  • Nasrin Erfanian Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL doctor@familypsychs.com Direct

National Provider Directory

National Provider Directory
Part of
Pasco Family Psychological Services LLC

NPI Registry JSON

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586908800000",
    "number": "1679192918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19439 SHUMARD OAK DR UNIT 102",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346387277",
            "telephone_number": "813-553-7675",
            "fax_number": "813-553-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19439 SHUMARD OAK DR UNIT 102",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346387277",
            "telephone_number": "813-553-7675",
            "fax_number": "813-553-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASCO FAMILY PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NASRIN ERFANIAN",
        "enumeration_date": "2020-04-15",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A",
        "authorized_official_last_name": "ERFANIAN",
        "authorized_official_first_name": "NASRIN",
        "authorized_official_title_or_position": "PSYCHOLOGIST, BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "813-553-7675",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., BCBA-D"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1568776870",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "doctor@familypsychs.com",
            "affiliation": "N",
            "endpointDescription": "This is a unique URL with encryption ability.  Also, I use the Valant EHR for portal access and messaging once a patient is established.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Simple initial contact with provider to set up EHR portal and scheduling or cancellation (benign information) should they forget their EHR portal password past the initial appointment.",
            "address_1": "19439 Shumard Oak Dr Unit 102",
            "city": "Land O Lakes",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346387277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Nasrin Erfanian",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Land O Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; 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.