Active NPI
Iman Hanafi
- Mental Health Counselor
- Quincy, MA
National Provider Identifier
1548772528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1245 Hancock St Ste 25
Quincy, MA 02169-4365 - Phone
- (617) 396-6434
- NPI assigned
- Oct 30, 2017
- Last updated
- Mar 17, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1245 Hancock St Ste 25
Quincy, MA 02169-4365
Mailing address
650 Huntington Ave Apt 6J
Boston, MA 02115-5914
Phone (617) 396-6434
Other practice location 1
650 Huntington Ave
Apt 6J
Boston, MA 02135
Phone (617) 396-6434
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C0008520700 | Other | MA | BMC |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1548772528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 HUNTINGTON AVE APT 6J",
"city": "BOSTON",
"state": "MA",
"postal_code": "021155914",
"telephone_number": "617-396-6434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1245 HANCOCK ST STE 25",
"city": "QUINCY",
"state": "MA",
"postal_code": "021694365",
"telephone_number": "617-396-6434"
}
],
"practiceLocations": [
{
"address_1": "650 Huntington Ave",
"address_2": "APT 6J",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "02135",
"country_code": "US",
"telephone_number": "617-396-6434",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANAFI",
"first_name": "IMAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-30",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BMC",
"identifier": "C0008520700",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Quincy, MA
- Kalya J Hamlett
- Catherine Hammond, LICSW
- Rachel Hammond
- Zaher Hammoud, D.M.D.
- Ashia Hampton, LPN
- Hancock Park Limited Partnership (Hancock Park Rehabilitation and Nursing Center)
- Hancock Park Limited Partnership (Hancock Park Adult Day Health)
- Hancock Park Limited Partnership
- Morgan Hancock
- Meghan Hanley
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.