Phalnarith Ba, OUT REACH WORKER
Individual provider Active NPI Interpreter · Revere, MA
NPI 1114064656 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1114064656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Interpreter 171R00000X
- Practice address
- 265 Beach St
Revere, MA 02151-3131 - Phone
- (617) 912-7732
- Fax
- (781) 286-5636
- NPI assigned
- Feb 1, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Suffolk Community Services Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Interpreter | 171R00000X | Yes |
Addresses
Primary practice location
265 Beach St
Revere, MA 02151-3131
Mailing address
265 Beach St
Revere, MA 02151-3131
Phone (617) 912-7732
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1301659 | Medicaid | MA |
Other providers in Revere, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.