NPIMap

Organization Active NPI

Khaira Psychiatry, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • South Boston, MA
National Provider Identifier
1295482560
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
KHAIRA PSYCHIATRY, PLLC
Practice address
205 E St Unit TH-1
South Boston, MA 02127-2874
Phone
(559) 708-9104
NPI assigned
Mar 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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

Authorized official

Name
Dr. Simreet Khaira, MDNPI 1013237247
Title
Psychiatrist
Phone
(559) 708-9104

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

205 E St Unit TH-1
South Boston, MA 02127-2874

Mailing address

205 E St Unit TH-1
South Boston, MA 02127-2874
Phone (617) 209-9146

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650585600000",
    "number": "1295482560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E ST UNIT TH-1",
            "city": "SOUTH BOSTON",
            "state": "MA",
            "postal_code": "021272874",
            "telephone_number": "617-209-9146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E ST UNIT TH-1",
            "city": "SOUTH BOSTON",
            "state": "MA",
            "postal_code": "021272874",
            "telephone_number": "559-708-9104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHAIRA PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-07",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A",
        "authorized_official_last_name": "KHAIRA",
        "authorized_official_first_name": "SIMREET",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "559-708-9104",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.