Teymour Sepahbodi, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

4301044235 Issued in MI

Practice address

35900 Euclid Ave
Willoughby, OH 44094-4623

Phone

(440) 953-3000

Fax

(440) 602-3953

NPI assigned

Jun 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

PsychiatryAlso: Addiction Medicine

Education

Ohio Medical University, 1971

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cambridge Recovery LLCGroup PAC ID 1052775426, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/rsnwo/r4/
• Direct secure messaging: tsepahbodi@rsnwo.gwaydirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cambridge Recovery LLC

  • Psychiatric Hospital
  • Cambridge, OH
  • NPI 1548977051
  Medicare reassignment Care Compare group
• Laurelwood Associates Inc

  • Counselor
  • Willoughby, OH
  • NPI 1346282001
  Medicare reassignment NPD
• Recovery Services of Northwest Ohio, Inc

  • Clinic/Center
  • Defiance, OH
  • NPI 1720046451
  Medicare reassignment NPD
• Oglethorpe of Middlepoint LLC

  • Psychiatric Hospital
  • Middle Point, OH
  • NPI 1104195668
  Medicare reassignment
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Lima-Urban Minority Alcoholism and Drug Abuse Outreach Program., Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lima, OH
  • NPI 1336780196
  NPD (past)
• C.W. Enterprise LLC

  • Mental Health Counselor
  • Chesterfield, MI
  • NPI 1427346170

  Psychiatry

  NPD (past)
• C.W. Enterprise LLC

  • Social Worker
  • Chesterfield, MI
  • NPI 1982655544

  Psychiatry

  NPD (past)
• Henry Ford Health Eastwood Behavioral Health

  • Social Worker
  • Clinton Township, MI
  • NPI 1396787701
  NPD (past)
• Renewal Christian Counseling Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mount Clemens, MI
  • NPI 1548211535
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992748230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8242 DIXIE HWY",
            "address_2": "APT D",
            "city": "IRA",
            "state": "MI",
            "postal_code": "480232560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35900 EUCLID AVE",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440944623",
            "telephone_number": "440-953-3000",
            "fax_number": "440-602-3953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEPAHBODI",
        "first_name": "TEYMOUR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301044235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0500336",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Christina Marie Shaw, LPCC
• Jill Press Shemory, COTA/L

• Psychiatry Physician in Willoughby, OH
• Providers in Willoughby, OH by specialty
• Psychiatry Physician in Ohio

• 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; Order and Referring.
• 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.