Individual provider Active NPI

Kenneth F Garni

  • Psychologist
  • Boston, MA
National Provider Identifier
1710055645
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
9 Issued in MA
Practice address
Suffolk University Counseling Center
73 Tremont Street, 5TH Floor
Boston, MA 02108
Phone
(617) 573-8226
Fax
(617) 227-3685
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 9 MA Primary

Addresses

Primary practice location

Suffolk University Counseling Center
73 Tremont Street, 5TH Floor
Boston, MA 02108

Mailing address

6 Earle Rd
Wellesley, MA 02481-2448
Phone (781) 237-6708

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

State licenses

LicenseStateTypeSpecialty
9MAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Suffolk University Health and Wellness Services Office Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710055645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 EARLE RD",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024812448",
            "telephone_number": "781-237-6708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUFFOLK UNIVERSITY COUNSELING CENTER",
            "address_2": "73 TREMONT STREET, 5TH FLOOR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02108",
            "telephone_number": "617-573-8226",
            "fax_number": "617-227-3685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARNI",
        "first_name": "KENNETH",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "9",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.