Talitha Koum Psychiatry, PLLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Milton, Massachusetts
1184490831- Practice location
- 500 Granite Ave, Milton, MA 02186-5626
- Phone
- 617-858-4024
- Fax
- —
- Last updated
- December 4, 2023
Talitha Koum Psychiatry, PLLC is a healthcare organization based in Milton, MA. Talitha Koum Psychiatry, PLLC practices in Milton, MA. The NPI Number for Talitha Koum Psychiatry, PLLC is 1184490831. The current practice location address for Talitha Koum Psychiatry, PLLC is 500 Granite Ave, Milton, MA 02186-5626 and can be reached out via phone at 617-858-4024.
Provider Profile Details
- NPI Number
- 1184490831
- Provider Name
- Talitha Koum Psychiatry, PLLC
- Provider Entity Type
- Organization
- Address
- 500 Granite Ave, Milton, MA 02186-5626
- Phone Number
- 617-858-4024
- Primary Taxonomy
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- Organization Subpart
- No
- Authorized Official
- Shauntelle Malcolm, PMHNP · Owner · 617-615-1772
- Provider Enumeration Date
- December 4, 2023
- Last Update Date
- December 4, 2023
- Certification Date
- December 3, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 500 Granite Ave
Milton, MA 02186-5626 - City
- Milton
- State
- Massachusetts
- Zip
- 02186-5626
- Phone Number
- 617-858-4024
Provider Business Mailing Address Details
- Address
- 52 Hollingsworth RD
Milton, MA 02186-1019 - City
- Milton
- State
- MA
- Zip
- 02186-1019
- Phone Number
- 617-615-1772
License Information
- Taxonomy (1)
- Clinic/Center, Adolescent and Children Mental Health · 261QM0855X
- Taxonomy (2)
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Talitha Koum Psychiatry, PLLC?
The NPI number of Talitha Koum Psychiatry, PLLC is 1184490831. It was assigned on December 4, 2023 and is currently active in the NPPES registry.
What is the specialty of Talitha Koum Psychiatry, PLLC?
Talitha Koum Psychiatry, PLLC is registered under the primary taxonomy Clinic/Center, Mental Health (Including Community Mental Health Center) (code 261QM0801X).
Where does Talitha Koum Psychiatry, PLLC practice?
The practice location is 500 Granite Ave, Milton, MA 02186-5626. The office can be reached at 617-858-4024 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184490831 directly on the NPPES registry website.