Individual provider Active NPI

Noor Naeem Tahirkheli, PHD

  • Clinical Psychologist
  • Boston, MA
National Provider Identifier
1932450707
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
10000839 Issued in MA
Practice address
112 Water St Ste 400
Boston, MA 02109-4211
Phone
(617) 315-8856
NPI assigned
Sep 19, 2012
Last updated
Feb 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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 10000839 MA Primary

Addresses

Primary practice location

112 Water St Ste 400
Boston, MA 02109-4211

Mailing address

163 High Plain Rd
Andover, MA 01810-3329
Phone (405) 412-7080

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
10000839MAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Abk Counseling & Wellness, LLC CurrentSince Mar 11, 2025 Accepting new patients
Family Transitions LLC Past Accepting new patients

Locations

112 Water St
Ste 400
Boston, MA 02109
Phone (617) 221-3659

Organizations & group practices 2

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": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1932450707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 HIGH PLAIN RD",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018103329",
            "telephone_number": "405-412-7080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 WATER ST STE 400",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021094211",
            "telephone_number": "617-315-8856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAHIRKHELI",
        "first_name": "NOOR",
        "middle_name": "NAEEM",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-19",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "10000839",
            "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 Feb 26, 2025; 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.