Active NPI
Empath Medicine Incorporated
- Psychosomatic Medicine Physician
- Cambridge, MA
National Provider Identifier
1053148890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychosomatic Medicine Physician
- Legal business name
- EMPATH MEDICINE INCORPORATED
- Practice address
- 130 Bishop Allen Dr Ste 5
Cambridge, MA 02139-2499 - Phone
- (617) 410-6069
- NPI assigned
- Sep 16, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mariam Aboukar, DO
- Title
- Ceo
- Phone
- (614) 446-0500
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychosomatic Medicine Physician | 2084P0015X | Primary |
Addresses
Primary practice location
130 Bishop Allen Dr Ste 5
Cambridge, MA 02139-2499
Mailing address
5019 Noor Park Cir
Dublin, OH 43016-7075
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
130 Bishop Allen Dr
Ste 5
Cambridge, MA 02139
Phone (617) 410-6069
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- New London, CT
- NPI 1013448620
MA, Psychosomatic Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741132800000",
"number": "1053148890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5019 NOOR PARK CIR",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430167075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 BISHOP ALLEN DR STE 5",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021392499",
"telephone_number": "617-410-6069"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMPATH MEDICINE INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-16",
"last_updated": "2025-03-05",
"certification_date": "2025-03-05",
"status": "A",
"authorized_official_last_name": "ABOUKAR",
"authorized_official_first_name": "MARIAM",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "614-446-0500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "2084P0015X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychosomatic Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.