Organization Active NPI

Kiran S. Lulla MD, PC

  • Child & Adolescent Psychiatry Physician
  • Wellesley, MA
National Provider Identifier
1457081135
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
KIRAN S. LULLA MD, PC
Practice address
219 Washington St
Wellesley, MA 02481-3105
Phone
(781) 434-8639
NPI assigned
Jun 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Authorized official

Name
Dr. Kiran Lulla, MD, MBANPI 1316920101
Title
Child and Adolescent Psychiatrist
Phone
(781) 434-8639

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
Child & Adolescent Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0804X Primary

Addresses

Primary practice location

219 Washington St
Wellesley, MA 02481-3105

Mailing address

720 Wellesley St
Weston, MA 02493-1000
Phone (781) 237-5687

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": "1655251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1457081135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 WELLESLEY ST",
            "city": "WESTON",
            "state": "MA",
            "postal_code": "024931000",
            "telephone_number": "781-237-5687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 WASHINGTON ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024813105",
            "telephone_number": "781-434-8639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRAN S. LULLA MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "LULLA",
        "authorized_official_first_name": "KIRAN",
        "authorized_official_title_or_position": "CHILD AND ADOLESCENT PSYCHIATRIST",
        "authorized_official_telephone_number": "781-434-8639",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MBA"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.