Organization Active NPI

Blue Hill Psychiatry PLLC

  • Psychiatry Physician
  • Boston, MA
National Provider Identifier
1033890694
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BLUE HILL PSYCHIATRY PLLC
Practice address
399 Boylston St FL 6
Boston, MA 02116-3325
Phone
(617) 420-5850
Fax
(617) 399-9750
NPI assigned
Jul 27, 2023
Last updated
Feb 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Authorized official

Name
Dr. Amal Kimawi, MDNPI 1225323660
Title
Ceo
Phone
(617) 678-2430

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Primary
Psychosomatic Medicine Physician 2084P0015X

Addresses

Primary practice location

399 Boylston St FL 6
Boston, MA 02116-3325

Mailing address

399 Boylston St FL 6
Boston, MA 02116-3325
Phone (617) 420-5850

National Provider Directory

National Provider Directory

Locations

399 Boylston St
Fl 6
Boston, MA 02116
Phone (855) 539-6264

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1033890694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 BOYLSTON ST FL 6",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021163325",
            "telephone_number": "617-420-5850",
            "fax_number": "617-399-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 BOYLSTON ST FL 6",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021163325",
            "telephone_number": "617-420-5850",
            "fax_number": "617-399-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE HILL PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-27",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "KIMAWI",
        "authorized_official_first_name": "AMAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "617-678-2430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.