Provider Demographics
NPI:1780417279
Name:KIRAM PSYCHOLOGY SERVICES LLC
Entity type:Organization
Organization Name:KIRAM PSYCHOLOGY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST AND OWNER
Authorized Official - Prefix:
Authorized Official - First Name:UMMUL-KIRAM
Authorized Official - Middle Name:
Authorized Official - Last Name:KATHAWALLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-622-5227
Mailing Address - Street 1:160 ALEWIFE BROOK PKWY # 1398
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-1102
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:160 ALEWIFE BROOK PKWY # 1398
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-1102
Practice Address - Country:US
Practice Address - Phone:508-622-5227
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-21
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)