Active NPI
Malekeh K Hakami, PHD
- Psychologist
- Brookline, MA
National Provider Identifier
1245291749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3964
- Practice address
- 77 Pond Ave
Suite 101 the Brook House
Brookline, MA 02445-7141 - Phone
- (617) 390-1312
- Fax
- (617) 390-1576
- NPI assigned
- Apr 1, 2006
- Last updated
- Aug 23, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3964 | MA | Primary |
Addresses
Primary practice location
77 Pond Ave
Suite 101 the Brook House
Brookline, MA 02445-7141
Mailing address
PO Box 81326
Wellesley Hills, MA 02481-0003
Phone (617) 390-1312
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 406697 | Other | MA | TUFTS |
| W03925 | Other | MA | BLUE CROSS BLUE SHIELD |
| 0501450 | Medicaid | MA |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3964 | MA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282521600000",
"number": "1245291749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 81326",
"city": "WELLESLEY HILLS",
"state": "MA",
"postal_code": "024810003",
"telephone_number": "617-390-1312",
"fax_number": "617-390-1576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 POND AVE",
"address_2": "SUITE 101 THE BROOK HOUSE",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024457141",
"telephone_number": "617-390-1312",
"fax_number": "617-390-1576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAKAMI",
"first_name": "MALEKEH",
"middle_name": "K",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-01",
"last_updated": "2010-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "3964",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "406697",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "W03925",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0501450",
"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 Aug 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.