Talitha Koum Psychiatry, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

TALITHA KOUM PSYCHIATRY, PLLC

Practice address

500 Granite Ave
Milton, MA 02186-5626

Phone

(617) 858-4024

NPI assigned

Dec 4, 2023

Organization subpart

No

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

Authorized official

Name

Shauntelle Malcolm, PMHNPNPI 1225468804

Title

Owner

Phone

(617) 615-1772

Specialties & licenses 2

Addresses

Practitioners 1

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

• Shauntelle Malcolm, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Mattapan, MA
  • NPI 1225468804
  NPD Authorized official

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1184490831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 HOLLINGSWORTH RD",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021861019",
            "telephone_number": "617-615-1772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 GRANITE AVE",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021865626",
            "telephone_number": "617-858-4024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALITHA KOUM PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-03",
        "status": "A",
        "authorized_official_last_name": "MALCOLM",
        "authorized_official_first_name": "SHAUNTELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-615-1772",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Sullivan-Maher
• Catherine Teresa Sweeney Regan, DDS
• Daniel Sweeney, DDS
• Hoi Man Szeto, PT, DPT
• T. Atilla Ceranoglu, MD, PC
• Talk2Me LLC
• Tony Tang, CRNA
• Roy Paul Tarr, D.P.M.
• Courtney Taylor, DSW
• Susan Taylor, PSY.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Milton, MA
• Providers in Milton, MA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.