Individual provider Active NPI

Liya Markovna Akoury, PH.D.

  • Clinical Psychologist
  • Boston, MA
National Provider Identifier
1689190399
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
11346 Issued in MA
Practice address
112 Water St
Boston, MA 02109-4206
Phone
(617) 315-8856
NPI assigned
Aug 15, 2017
Last updated
Oct 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 11346 MA Primary

Addresses

Primary practice location

112 Water St
Boston, MA 02109-4206

Mailing address

112 Water St
Boston, MA 02109-4206
Phone (617) 315-8856

Other names 1

  • Liya Markovna Rakhkovskaya Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Aug 2, 2024 through Aug 2, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
11346MAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Abk Counseling & Wellness, LLC PastSince Dec 15, 2019 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1689190399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 WATER ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021094206",
            "telephone_number": "617-315-8856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 WATER ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021094206",
            "telephone_number": "617-315-8856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKOURY",
        "first_name": "LIYA",
        "middle_name": "MARKOVNA",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-15",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "11346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIYA",
            "last_name": "RAKHKOVSKAYA",
            "middle_name": "MARKOVNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.