Active NPI
Sephra T. Rahabi - Vigna, PSY.D
- Clinical Psychologist
- Buffalo, NY
National Provider Identifier
1922123330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 014328
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000528296001 | Other | NY | BLUE 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
| Organization | Specialty | Status | New 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.
-
- Clinical Psychologist
- Staten Island, NY
- NPI 1639578206
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.