FAHARI PSYCHIATRIC AND MENTAL HEALTH SERVICES
NPI 1457169633
Nurse Practitioner - Psychiatric/Mental Health in West Boylston, MA
About Fahari Psychiatric And Mental Health Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAHARI PSYCHIATRIC AND MENTAL HEALTH SERVICES (NPI 1457169633) is a healthcare organization registered as a psychiatric/mental health in West Boylston, Massachusetts and active in the NPI registry since December 2024. The organization lists Marygoretti Wairimu Kibe, Pmhnp-bc, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fahari Psychiatric And Mental Health Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Fahari Psychiatric And Mental Health Services, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Fahari Psychiatric And Mental Health Services's NPI number?
The NPI number for Fahari Psychiatric And Mental Health Services is 1457169633. It was assigned to this organization in the NPPES registry on December 20, 2024.
Where is Fahari Psychiatric And Mental Health Services located?
Fahari Psychiatric And Mental Health Services is located at 352 W Boylston St Ste 233, West Boylston, MA 01583. The listed phone number is (774) 623-1241.
What is Fahari Psychiatric And Mental Health Services's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Fahari Psychiatric And Mental Health Services enrolled in Medicare?
Yes. Fahari Psychiatric And Mental Health Services is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fahari Psychiatric And Mental Health Services?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Fahari Psychiatric And Mental Health Services. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Fahari Psychiatric And Mental Health Services was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Fahari Psychiatric And Mental Health Services · NPI 1457169633
Psychiatric/Mental Health organization in West Boylston, Massachusetts. Organization record, active in the CMS NPPES registry since December 20, 2024.
## Identity
- **NPI:** 1457169633 (Entity type: Organization)
- **Enumerated:** December 20, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Marygoretti Kibe, PMHNP-BC
## Practice location
- **Address:** 352 W BOYLSTON ST STE 233, West Boylston, MA 01583-2342
- **Phone:** (774) 623-1241
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1457169633) · Data from the CMS NPPES public registry.