Organization Active NPI

Ym Psychotherapy & Consultation Inc

  • Clinical Psychologist
  • Cambridge, MA
National Provider Identifier
1962609586
Registry record updated Jul 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7886 Issued in MA
Legal business name
YM PSYCHOTHERAPY & CONSULTATION INC
Practice address
1218 Massachusetts Ave
First Floor
Cambridge, MA 02138-3835
Phone
(617) 491-1660
Fax
(617) 491-1661
NPI assigned
Jun 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2007

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

Authorized official

Name
Dr. Craig Malkin, PH.D.NPI 1437216918
Title
President
Phone
(617) 491-1660

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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 7886 MA Primary

Addresses

Primary practice location

1218 Massachusetts Ave
First Floor
Cambridge, MA 02138-3835

Mailing address

1218 Massachusetts Ave
First Floor
Cambridge, MA 02138-3835
Phone (617) 491-1660

Other names 1

  • YPC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160705002075 MA Part B Supplier - Clinic/Group Practice 0446404024 Receives reassigned benefits from 1 practitioner
Practice locations: Belmont, MA

National Provider Directory

National Provider Directory

Locations

12 Arrow St
Ste 210
Cambridge, MA 02138
Phone (617) 460-1053

1218 Massachusetts Ave
Ste 1
Cambridge, MA 02138
Phone (617) 491-1660

Practitioners & affiliated clinicians

Practitioners 8

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": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185062400000",
    "number": "1962609586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 MASSACHUSETTS AVE",
            "address_2": "FIRST FLOOR",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021383835",
            "telephone_number": "617-491-1660",
            "fax_number": "617-491-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 MASSACHUSETTS AVE",
            "address_2": "FIRST FLOOR",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021383835",
            "telephone_number": "617-491-1660",
            "fax_number": "617-491-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YM PSYCHOTHERAPY & CONSULTATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2007-07-22",
        "status": "A",
        "authorized_official_last_name": "MALKIN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-491-1660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "7886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YPC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.