Shapar M Farzad, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

355100372800 Issued in NJ

Practice address

2480 Pennington Rd
Suite 105
Pennington, NJ 08540

Phone

(609) 818-9080

Fax

(609) 737-7032

NPI assigned

Nov 27, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 1, 2026 through Jul 1, 2028

Specialty

Clinical Psychologist

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Prakash Amin ,MD , PA

  • Psychiatry Physician
  • Mercerville, NJ
  • NPI 1053529628
  NPD
• Ahmad Farzad MD PA

  • Otolaryngology Physician
  • Pennington, NJ
  • NPI 1770770513
  NPD (past)

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952477663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 PENNINGTON RD",
            "address_2": "SUITE 105",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "08534",
            "telephone_number": "609-818-9080",
            "fax_number": "609-737-7032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 PENNINGTON RD",
            "address_2": "SUITE 105",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "08540",
            "telephone_number": "609-818-9080",
            "fax_number": "609-737-7032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARZAD",
        "first_name": "SHAPAR",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "355100372800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahmad Farooq, M.D., M.S.H.S.
• Anam Iftikhar Farooqui
• Lauren Farrell
• Olivia Farrell
• Ahmad Farzad, MD
• Siobhan Fay, LPC
• Rae R. Federico, LCSW
• Jeffrey Adam Fehder, APN-CRNA
• Katherine Fellman, M.D.
• Vernard Sharif Fennell, MD

• Psychologist in Pennington, NJ
• Providers in Pennington, NJ by specialty
• Psychologist in New Jersey

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.