Individual provider Active NPI

Keren Porat, MA

  • Clinical Psychologist
  • Cambridge, MA
National Provider Identifier
1962711903
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
10325 Issued in MA
Practice address
22 Hilliard St Ofc 103
Cambridge, MA 02138-4972
Phone
(773) 704-1005
NPI assigned
Sep 24, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalyst 102L00000X
Psychoanalysis Psychologist 103TP0814X
Clinical Psychologist 103TC0700X 10325 MA Primary

Addresses

Primary practice location

22 Hilliard St Ofc 103
Cambridge, MA 02138-4972

Mailing address

22 Hilliard St Ofc 103
Cambridge, MA 02138-4972
Phone (773) 704-1005

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
10325MAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cambridge Institute for Psychotherapy Services and Education, Cipse CurrentSince Aug 17, 2025 Accepting new patients

Locations

22 Hilliard St
Ofc 103
Cambridge, MA 02138
Phone (773) 704-1005

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1962711903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 HILLIARD ST OFC 103",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021384972",
            "telephone_number": "773-704-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 HILLIARD ST OFC 103",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021384972",
            "telephone_number": "773-704-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORAT",
        "first_name": "KEREN",
        "name_prefix": "Dr.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-24",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "10325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 12, 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.