Individual provider Active NPI

Peter Harakas, PHD

  • Psychologist
  • Arlington, MA
National Provider Identifier
1932545381
Registry record updated Jun 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
9635 Issued in MA
Practice address
94 Pleasant St Ste 114
Arlington, MA 02476-6534
Phone
(617) 402-2658
Fax
(617) 402-2658
NPI assigned
May 13, 2013
Last updated
Jun 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 9635 MA Primary
Cognitive & Behavioral Psychologist 103TB0200X

Addresses

Primary practice location

94 Pleasant St Ste 114
Arlington, MA 02476-6534

Mailing address

41 Belmont St Apt 23
Somerville, MA 02143-2531
Phone (617) 460-3498

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
9635MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cognitive Behavior Therapy Insights LLC Psychologist CurrentSince Jun 23, 2024 Accepting new patients
Cognitive Behavior Therapy Associates, LLC Cognitive & Behavioral Past Accepting new patients

Locations

94 Pleasant St
Ste 114
Arlington, MA 02476
Phone (617) 402-2658

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": "1368403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718496000000",
    "number": "1932545381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 BELMONT ST APT 23",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021432531",
            "telephone_number": "617-460-3498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 PLEASANT ST STE 114",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024766534",
            "telephone_number": "617-402-2658",
            "fax_number": "617-402-2658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARAKAS",
        "first_name": "PETER",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-13",
        "last_updated": "2024-06-16",
        "certification_date": "2024-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "9635",
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.