Shervin Tehrani-Rad, PSYD, MPH
NPI 1619225489ActiveIndividual· Psychologist, Clinical· Saint Joseph, MI
Psychologist, Clinical (PSYD, MPH) with Psychiatric Specialties, PLC, practicing in Saint Joseph, Michigan. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1619225489 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSYD, MPH |
| Sole proprietor | Yes |
| NPI issued | Aug 27, 2012 |
| Last updated in NPPES | Oct 9, 2022 |
| Certified by provider | Oct 9, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 6301017839 | MI |
| Clinical Neuropsychologist | 103G00000X | 33059 | CA |
| Clinical Neuropsychologist | 103G00000X | 6301017839 | MI |
| Psychologist | 103T00000X | 6301017839 | MI |
| Psychologist | 103T00000X | 33059 | CA |
| Psychologist, Clinical | 103TC0700X | 33059 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (MI) |
|---|
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Psychiatric Specialties, PLCSaint Joseph, MI · 10 clinicians
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