Organization Active NPI

Shanmugham Psychological Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brookline, MA
National Provider Identifier
1396401873
Registry record updated Nov 9, 2021
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
SHANMUGHAM PSYCHOLOGICAL SERVICES LLC
Practice address
1577 Beacon St Ste D
Brookline, MA 02446-4602
Phone
(617) 990-9450
NPI assigned
Nov 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Authorized official

Name
Dr. Uma M Shanmugham, PSYDNPI 1790033447
Title
Licensed Psychologist
Phone
(617) 990-9450

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

1577 Beacon St Ste D
Brookline, MA 02446-4602

Mailing address

3961 Washington St Apt 2R
Roslindale, MA 02131-1241

National Provider Directory

National Provider Directory

Locations

1577 Beacon St
Ste D
Brookline, MA 02446
Phone (617) 433-9933

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": "1636416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636416000000",
    "number": "1396401873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3961 WASHINGTON ST APT 2R",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021311241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1577 BEACON ST STE D",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024464602",
            "telephone_number": "617-990-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANMUGHAM PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A",
        "authorized_official_last_name": "SHANMUGHAM",
        "authorized_official_first_name": "UMA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "617-990-9450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "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 Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.