MEDICARE: IFTIN PSYCHIATRY SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1053275438
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IFTIN PSYCHIATRY SERVICES LLC

Provider Business Mailing Address
First Line	:	1425 E DUBLIN GRANVILLE RD STE 213
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43229-3312
Country	:	US
Telephone Number	:	614-508-1673
Fax Number	:	614-508-1673

Provider Business Practice Location Address
First Line	:	1425 E DUBLIN GRANVILLE RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43229-3325
Country	:	US
Telephone Number	:	614-508-1673
Fax Number	:	614-508-1673

Authorized Official
Title or Position	:	OWNER / AUTHORIZED OFFICIAL
Name	:	ARDO DAHIR
Credential	:	APRN,CNP, PMHNP-BC
Telephone Number	:	614-929-0959

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	12/10/2025

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