Diya Kallivayalil, PH.D

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

Victims of Violence Program
26 Central Street
Somerville, MA 02143

Phone

(617) 575-5208

NPI assigned

May 1, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cambridge Public Health Commission

  • General Acute Care Hospital
  • Cambridge, MA
  • NPI 1487603585
  Medicare reassignment NPD
• Cambridge Public Health Commission

  • Psychiatric Hospital Unit
  • Cambridge, MA
  • NPI 1447348313
  NPD
• Cambridge Public Health Commission

  • General Acute Care Hospital
  • Cambridge, MA
  • NPI 1932313228
  NPD

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275754863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PORTSMOUTH STREET",
            "address_2": "#3",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "02141",
            "telephone_number": "646-312-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VICTIMS OF VIOLENCE PROGRAM",
            "address_2": "26 CENTRAL STREET",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "02143",
            "telephone_number": "617-575-5208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLIVAYALIL",
        "first_name": "DIYA",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Stefan Kachinsky, O.D.
• Kourtney Kacian, PHYSICIAN ASSISTANT
• Douglas Robert Kahn, MSPT
• Hope Kalajian, PHARMD
• Krystallia Kalliontzi
• Bruce Michael Kalow, MD
• Kamyab Counseling LLC
• Jacqueline Kane
• James Kane, LICSW
• Xerxes Sam Kapadia, DPT

• Psychologist in Somerville, MA
• Providers in Somerville, MA by specialty
• Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.