Individual provider Active NPI

Sephra T. Rahabi - Vigna, PSY.D

  • Clinical Psychologist
  • Buffalo, NY
National Provider Identifier
1922123330
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
014328 Issued in NY
Practice address
406 Linwood Ave
Buffalo, NY 14209-1629
Phone
(716) 886-7304
Fax
(716) 886-7398
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 014328 NY Primary

Addresses

Primary practice location

406 Linwood Ave
Buffalo, NY 14209-1629

Mailing address

406 Linwood Ave
Buffalo, NY 14209-1629
Phone (716) 886-7304

Other identifiers 1

IdentifierTypeStateIssuer
000528296001OtherNYBLUE CROSS OF WNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pakier Psychological Services P.C. Clinical Past Accepting new patients

Organizations & group practices 1

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": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922123330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 LINWOOD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142091629",
            "telephone_number": "716-886-7304",
            "fax_number": "716-886-7398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 LINWOOD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142091629",
            "telephone_number": "716-886-7304",
            "fax_number": "716-886-7398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHABI - VIGNA",
        "first_name": "SEPHRA",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "014328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF WNY",
            "identifier": "000528296001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.