Individual provider Active NPI

Tahereh Narges Nadim, PSYA.D

  • Mental Health Counselor
  • Framingham, MA
National Provider Identifier
1689079907
Registry record updated Feb 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5000786 Issued in MA
Practice address
63 Fountain St
Framingham, MA 01702-6279
Phone
(413) 277-3115
NPI assigned
Oct 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Mental Health Counselor 101YM0800X 5000786 MA Primary

Addresses

Primary practice location

63 Fountain St
Framingham, MA 01702-6279

Mailing address

42D Shrewsbury Green Dr
Shrewsbury, MA 01545-3629
Phone (617) 780-7946

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20241125001123 TX Practitioner - Mental Health Counselor 4981146552

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5000786MAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676764800000",
    "number": "1689079907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42D SHREWSBURY GREEN DR",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015453629",
            "telephone_number": "617-780-7946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 FOUNTAIN ST",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017026279",
            "telephone_number": "413-277-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADIM",
        "first_name": "TAHEREH",
        "middle_name": "NARGES",
        "name_prefix": "Dr.",
        "credential": "PSYA.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-29",
        "last_updated": "2023-02-19",
        "certification_date": "2023-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "5000786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Framingham, MA

Sources for this page

Verify at the official NPI Registry.