Organization Active NPI

Karaya Wellness Clinic LLC

  • Clinic/Center
  • Brookline, MA
National Provider Identifier
1053943308
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
KARAYA WELLNESS CLINIC LLC
Practice address
1751 Beacon St
Brookline, MA 02445-5356
Phone
(617) 232-7566
Fax
(617) 232-7613
NPI assigned
Feb 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

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

Authorized official

Name
Dr. Darlene Flores, DCNPI 1881919686
Title
Doctor
Phone
(617) 232-7566

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)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1751 Beacon St
Brookline, MA 02445-5356

Mailing address

1751 Beacon St
Brookline, MA 02445-5356
Phone (617) 232-7566

Other identifiers 1

IdentifierTypeStateIssuer
110030104AMedicaidMA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580860800000",
    "number": "1053943308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 BEACON ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024455356",
            "telephone_number": "617-232-7566",
            "fax_number": "617-232-7613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 BEACON ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024455356",
            "telephone_number": "617-232-7566",
            "fax_number": "617-232-7613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARAYA WELLNESS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "617-232-7566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110030104A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; 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.