Individual provider Active NPI

Kyra Battaglia

  • Clinical Psychologist
  • Hingham, MA
National Provider Identifier
1003214834
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
11728 Issued in MA
Practice address
350 Lincoln St Ste 2400
Hingham, MA 02043-1579
Phone
(508) 812-7994
NPI assigned
Dec 10, 2014
Last updated
Sep 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 9081 MA
Clinical Psychologist 103TC0700X 11728 MA Primary

Addresses

Primary practice location

350 Lincoln St Ste 2400
Hingham, MA 02043-1579

Mailing address

350 Lincoln St Ste 2400
Hingham, MA 02043-1579

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 20, 2024 through Jan 20, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9081MAMDMental Health Counselor
11728MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Kyra Battaglia LLC Current Accepting new patients
Shrewsbury Youth and Family Services, Inc. Past Accepting new patients
Shrewsbury Youth & Family Services Past Accepting new patients

Locations

350 Lincoln St
Ste 2400
Hingham, MA 02043
Phone (617) 446-3705

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1003214834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 LINCOLN ST STE 2400",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020431579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 LINCOLN ST STE 2400",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020431579",
            "telephone_number": "508-812-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATTAGLIA",
        "first_name": "KYRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-10",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "9081",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "11728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hingham, MA

Sources for this page

Verify at the official NPI Registry.