Michael Jafarzadeh (NPI# 1922544113, PAC ID# 4789967787) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL PSYCHOLOGIST.
| Nation Provider ID (NPI) | 1922544113 |
| PAC ID by PECOS | 4789967787 |
| Professional Enrollment ID | I20170217001588 |
| Full Name | Michael Jafarzadeh |
| Organization Legal Name | LEGACY ASSESSMENT GROUP, LLC |
| Address |
1412 Main St Dallas TX 75202-4701 |
| Phone Number | 2147601964 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | CLINICAL PSYCHOLOGIST |
| Group Practice PAC ID | 1658667001 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1412 Main St, Dallas, TX 75202-4701 | 2147601964 | LEGACY ASSESSMENT GROUP, LLC |
| 1412 Main St, Suite 320, Dallas, TX 75202-4701 | 2147601964 | LEGACY ASSESSMENT GROUP, LLC |
| Organization Legal Name | LEGACY ASSESSMENT GROUP, LLC |
| Physicians | 1 |
| Street Address |
1412 MAIN ST |
| City | DALLAS |
| State | TX |
| Zip | 75202-4701 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Talitha M Sannes-venhuizen | Family Medicine | Sanford Medical Center Fargo | 1412 Main St, Hawley, MN 56549 |
| David A Vogt | Family Practice | Sanford Medical Center Fargo | 1412 Main St, Hawley, MN 56549 |
| Susan A Talmage | Clinical Psychologist | 1412 Main St, Suite 320, Dallas, TX 75202-4701 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie Yvette Walker | Clinical Social Worker | 701 Commerce St, Dallas, TX 75202-4522 |
| City | DALLAS |
| Zip Code | 75202 |
| Specialty | CLINICAL PSYCHOLOGIST |
| City + Specialty | DALLAS + CLINICAL PSYCHOLOGIST |
Please comment or provide details below to improve the information on Michael Jafarzadeh.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.