Individual provider Active NPI

Farzin Irani, PH.D.

  • Psychologist
  • Malvern, PA
National Provider Identifier
1679853899
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS017067 Issued in PA
Practice address
59 General Warren Blvd Ste 101
Malvern, PA 19355-1245
Phone
(484) 870-5608
Fax
(484) 870-5609
NPI assigned
Aug 18, 2011
Last updated
May 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PS017067 PA
Psychologist 103T00000X PS017067 PA Primary
Clinical Psychologist 103TC0700X PS017067 PA

Addresses

Primary practice location

59 General Warren Blvd Ste 101
Malvern, PA 19355-1245

Mailing address

59 General Warren Blvd Ste 101
Malvern, PA 19355-1245
Phone (484) 870-5608

Other names 1

  • Dr. Farzin Irani Sivasegaran Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111216000060 PA Practitioner - Clinical Psychologist 6406021641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aaa Neuropsychology, LLCGroup PAC ID 8022250166, 3 clinicians

Practice addresses (Care Compare)

59 General Warren Blvd
Suite 101
Malvern, PA 19355-1245
Phone (484) 870-5608

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS017067PAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aaa Neuropsychology, LLC Clinical CurrentSince Feb 1, 2013 Accepting new patients
Neuropsychological Assessment and Therapy Services, LLC Clinical Neuropsychologist PastSince Feb 1, 2013 Accepting new patients

Locations

101 Lindenwood Dr
Ste 225
Malvern, PA 19355
Phone (610) 504-4476

59 General Warren Blvd
#101
Malvern, PA 19355
Phone (484) 870-5608

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1679853899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 GENERAL WARREN BLVD STE 101",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551245",
            "telephone_number": "484-870-5608",
            "fax_number": "484-870-5609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 GENERAL WARREN BLVD STE 101",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551245",
            "telephone_number": "484-870-5608",
            "fax_number": "484-870-5609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRANI",
        "first_name": "FARZIN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-18",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "PA",
            "license": "PS017067",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS017067",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS017067",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FARZIN",
            "last_name": "IRANI SIVASEGARAN",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Malvern, PA

Sources for this page

Verify at the official NPI Registry.