Organization Active NPI

Boston Premier Psychiatry PLLC

  • Psychiatry Physician
  • Wellesley Hills, MA
National Provider Identifier
1770424723
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BOSTON PREMIER PSYCHIATRY PLLC
Practice address
65 Walnut St Ste 330
Wellesley Hills, MA 02481-2154
Phone
(617) 848-2376
Fax
(617) 848-2376
NPI assigned
Apr 3, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Authorized official

Name
Malini Prabhu, MDNPI 1114205937
Title
Owner
Phone
(508) 960-9611

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
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

65 Walnut St Ste 330
Wellesley Hills, MA 02481-2154

Mailing address

23 Bluebird Rd
Wellesley Hills, MA 02481-3504
Phone (508) 960-9611

National Provider Directory

National Provider Directory

Locations

65 Walnut St
Ste 320
Wellesley Hills, MA 02481
Phone (617) 997-2900

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": "1775174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782950400000",
    "number": "1770424723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 BLUEBIRD RD",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024813504",
            "telephone_number": "508-960-9611",
            "fax_number": "781-208-7365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 WALNUT ST STE 330",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024812154",
            "telephone_number": "617-848-2376",
            "fax_number": "617-848-2376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON PREMIER PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-03",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A",
        "authorized_official_last_name": "PRABHU",
        "authorized_official_first_name": "MALINI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-960-9611",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley Hills, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; 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.