MOHAMED FARRAG (PHD) – Psychologist, NPI 1770695157

MOHAMED FARRAG (PHD) is a healthcare provider. based in Flint, Michigan. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. The NPI Number for MOHAMED FARRAG (PHD) is 1770695157

Main info

Male
Sole Proprietor
56 Years Of Experience
Accepts Medicare Assignment
Name
MOHAMED FARRAG (PHD)
NPI
1770695157
Phone
(810) 744-3600
Address
1110 ELDON BAKER DR
Enumeration Date
31 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7348794100
Graduation Year
1970 (56 years ago)
PAC ID
4284718370
Group Practice PAC ID
0840503652
Professional Enrollment ID
I20080228000034
Address ID
MI481882306CA45900RDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

1,216 CLINICAL PSYCHOLOGIST in MI

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Provider Addresses for MOHAMED FARRAG (PHD)

  • 1110, Eldon Baker Drive, Flint, Genesee County, Michigan, 48507, United States

    FLINT, MI 485071923

    Phone: (810) 744-3600

    Type: Mailing

  • Michigan Avenue, Dearborn, Wayne County, Michigan, 481241, United States

    SUITE 405

    DEARBORN, MI 481241924

    Phone: (313) 730-8118

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-02-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080228000034IClinical PsychologistMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90791Psychiatric diagnostic evaluation417406$0
90832Psychotherapy, 30 minutes2119$0
View full utilization report →

Insurance plans in this area (ZIP 48507)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840503652View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical PsychologistMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical PsychologistMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

How do payers reference MOHAMED FARRAG (PHD)?
For MOHAMED FARRAG (PHD), use NPI 1770695157 as the unique 10-digit identifier.
Would MOHAMED FARRAG (PHD) appear as active to a payer?
You can treat MOHAMED FARRAG (PHD) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for MOHAMED FARRAG (PHD)?
At a glance, MOHAMED FARRAG (PHD) is tied to Psychologist. Clinical services aligned with this taxonomy classification.
Is MOHAMED FARRAG (PHD) located near Flint?
MOHAMED FARRAG (PHD) currently maps to Flint, Michigan in this extract.
When was this NPI issued?
Enumeration for MOHAMED FARRAG (PHD) is noted as August 31, 2006 where the registry provides it.

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