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DR. SHERVIN TEHRANI-RAD PSYD MPH NPI 1619225489


NPI Information

NPI: 1619225489
Provider Name: DR. SHERVIN TEHRANI-RAD, PSYD, MPH
Classification: Psychologist - 103TC0700X
Entity Type: Individual

Specialization: Clinical

PECOS Registration: Yes

Address:
415 MAIN ST STE A
SAINT JOSEPH, MI
ZIP 49085
Phone: (269) 408-1688
Get Directions

DR. Shervin Tehrani-rad, PSYD, MPH is a clinical psychologist in Saint Joseph, MI with 7 years of experience. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DR. Shervin Tehrani-rad, PSYD, MPH NPI is 1619225489. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

415 MAIN ST STE A
SAINT JOSEPH, MI
ZIP 49085-100
Phone: (269) 408-1688

The NPI 1619225489 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/27/2012 and was last updated on 10/9/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103G00000XClinical Neuropsychologist33059CALIFORNIANo
2103G00000XClinical Neuropsychologist6301017839MICHIGANNo
3103T00000XPsychologist6301017839MICHIGANNo
4103T00000XPsychologist33059CALIFORNIANo
5103TC0700XPsychologistClinical33059CALIFORNIANo
6103TC0700XPsychologistClinical6301017839MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.