Simreet Khaira

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

261804 Issued in MA

Practice address

205 E St # TH-1
South Boston, MA 02127-2874

Phone

(617) 209-9146

NPI assigned

Jun 10, 2010

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)

Enrolled

Credentials

Doctor of Medicine

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.

• Khaira Psychiatry, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • South Boston, MA
  • NPI 1295482560
  NPD Authorized official

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1013237247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E ST # TH-1",
            "city": "SOUTH BOSTON",
            "state": "MA",
            "postal_code": "021272874",
            "telephone_number": "559-708-9104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E ST # TH-1",
            "city": "SOUTH BOSTON",
            "state": "MA",
            "postal_code": "021272874",
            "telephone_number": "617-209-9146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAIRA",
        "first_name": "SIMREET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-10",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "245150",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "261804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suhina Kapoor, DMD
• Mary Elizabeth Kelleher, LICSW
• Alice Anderson Kenney
• Kristen Keough, BSN, RN
• Khaira Psychiatry, PLLC
• Timothy Campbell Kiley
• Brianna N Kimick
• Kimberly Joan Kipp, RN
• Brendan Kirck
• Olivia Lauren Klenert, NP

• Psychiatry Physician in South Boston, MA
• Providers in South Boston, MA by specialty
• Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.