Active NPI
Kai Le Page Bekkeli
- Clinical Psychologist
- Brookline, MA
National Provider Identifier
1174173785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 11275
- Practice address
- 251 Harvard St Ste 8
Brookline, MA 02446-5000 - Phone
- (617) 415-8715
- NPI assigned
- Sep 16, 2019
- Last updated
- Feb 27, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 11275 | MA | Primary |
Addresses
Primary practice location
251 Harvard St Ste 8
Brookline, MA 02446-5000
Mailing address
11 Farnum St # 1
Quincy, MA 02169-5704
Phone (617) 415-8715
Other practice location 1
541 Main St Ste 303
Weymouth, MA 02190-1845
Phone (781) 331-7866
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11275 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582761600000",
"number": "1174173785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 FARNUM ST # 1",
"city": "QUINCY",
"state": "MA",
"postal_code": "021695704",
"telephone_number": "617-415-8715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 HARVARD ST STE 8",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024465000",
"telephone_number": "617-415-8715"
}
],
"practiceLocations": [
{
"address_1": "541 Main St Ste 303",
"address_purpose": "LOCATION",
"city": "Weymouth",
"state": "MA",
"postal_code": "021901845",
"country_code": "US",
"telephone_number": "781-331-7866",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEKKELI",
"first_name": "KAI",
"middle_name": "LE PAGE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-09-16",
"last_updated": "2020-02-27",
"certification_date": "2020-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "11275",
"primary": true
}
],
"identifiers": [],
"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 27, 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.