Ummul-Kiram Kathawalla, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY5000465 Issued in MA

Practice address

73 Tremont St
Boston, MA 02108-3916

Phone

(952) 261-3959

NPI assigned

Oct 13, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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

• Kiram Psychology Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cambridge, MA
  • NPI 1780417279
  NPD Authorized official

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1003532862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 MILTON ST",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024748735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 TREMONT ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021083916",
            "telephone_number": "952-261-3959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Milton St",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "MA",
            "postal_code": "024748735",
            "country_code": "US",
            "telephone_number": "952-261-3959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATHAWALLA",
        "first_name": "UMMUL-KIRAM",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-13",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "PSY5000465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Negin Katebi, D.D.S
• Jonathan Katechis
• Katherine Kates, FNP
• Kimberley A Kates
• Rebecca Marie Kath, PNP
• Sekar Kathiresan, MD
• Martin Nelson Kathrins, MD
• Ryan James Katides, RN, CNP
• Faris Azeez Katkhuda, MD
• Daniel Joshua Kats, MD

• Psychologist in Boston, MA
• Providers in Boston, MA by specialty
• Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.