Organization Active NPI

Primula Health LLC

  • Clinical Psychologist
  • Boston, MA
National Provider Identifier
1730687385
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
10206 Issued in MA
Legal business name
PRIMULA HEALTH LLC
Practice address
399 Boylston St Ste 900
Boston, MA 02116-3305
Phone
(503) 407-4144
NPI assigned
Jan 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Authorized official

Name
Dr. Leah Ruth Kamin, PSY.D.
Title
Owner
Phone
(503) 407-4144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 10206 MA Primary

Addresses

Primary practice location

399 Boylston St Ste 900
Boston, MA 02116-3305

Mailing address

292 Newbury St # 313
Boston, MA 02115-2863
Phone (617) 908-7172

National Provider Directory

National Provider Directory

Locations

292 Newbury St
#313
Boston, MA 02115

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": "1517184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1730687385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 NEWBURY ST # 313",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021152863",
            "telephone_number": "617-908-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 BOYLSTON ST STE 900",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021163305",
            "telephone_number": "503-407-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMULA HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-29",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "KAMIN",
        "authorized_official_first_name": "LEAH",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-407-4144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "10206",
            "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 Oct 1, 2024; 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.