MS. KHALILAH IMANI TYRE (NPI# 1447769534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447769534 |
| Entity Type | Individual |
| Full Name | MS. KHALILAH IMANI TYRE |
| Practice Address |
22 Pleasant St Ste 2000 Malden MA 02148-5119 |
| Mailing Address |
211 Broadway Arlington MA 02474-5410 |
| Practice Telephone | 7818512648 |
| Mailing Telephone | 6462503643 |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2017-09-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
22 PLEASANT ST STE 2000 |
| City | MALDEN |
| State | MA |
| Zip Code | 02148-5119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487001145 | Veronica Greene | Behavioral Analyst | 22 Pleasant St Ste 2000, Malden, MA 02148 | 2016-05-23 |
| 1760022198 | Josue Theosmy | Counselor | 22 Pleasant St Ste 2000, Malden, MA 02148-5119 | 2020-01-14 |
| 1558917195 | Trevor Hiler | Social Worker | 22 Pleasant St Ste 2000, Malden, MA 02148-5119 | 2019-08-09 |
| 1982261996 | Margaret Whited | Community Health Worker | 22 Pleasant St Ste 2000, Malden, MA 02148-5119 | 2019-05-24 |
| 1962983031 | Karlah E Paul | Community/Behavioral Health | 22 Pleasant St Ste 2000, Malden, MA 02148-5119 | 2018-08-27 |
| 1396237020 | Manoucheka Pierre | Counselor | 22 Pleasant St Ste 2000, Malden, MA 02148-5119 | 2018-05-30 |
| 1043738297 | Palesa Cochran-allen | Counselor | 22 Pleasant St Ste 2000, Malden, MA 02148-5119 | 2017-09-07 |
| 1689196396 | Tatiana Angelina Jean-noel | Behavioral Analyst | 22 Pleasant St Ste 2000, Malden, MA 02148-5119 | 2017-07-13 |
| 1013437730 | Cassandra Campbell | Case Manager/Care Coordinator | 22 Pleasant St Ste 2000, Malden, MA 02148-5119 | 2017-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427680743 | Cambridge Public Health Commission | Pharmacy | 350 Main Street Suite 640, Malden, MA 02148 | 2020-02-05 |
| 1568932192 | Stephanie L Octave | Behavior Technician | 28 Wolcott St, Malden, MA 02148 | 2018-11-27 |
| 1477036549 | Fabienne Odney | Registered Nurse | 41 Alpine St, Malden, MA 02148 | 2018-09-13 |
| 1972085322 | Donna Watson | Social Worker | 33 Goodwin Avenue, Malden, MA 02148 | 2018-09-02 |
| 1588144505 | Michael William Sage | Physician Assistant | Cha Malden Care Center, 195 Canal Street, Malden, MA 02148 | 2018-08-20 |
| 1255827432 | Martineau Louine | Internal Medicine | 11 Dennis Road, Malden, MA 02148 | 2018-07-10 |
| 1700378098 | Catherine Grieves | Social Worker | 785 Main St Apt. 6, Malden, MA 02148 | 2018-06-01 |
| 1215427901 | Leam Thomas | Counselor | 175 Summer Street, Apt204, Malden, MA 02148 | 2018-05-17 |
| 1629593637 | David Acuna | Counselor | 22 Plesant Street, Malden, MA 02148 | 2017-08-10 |
| 1295258580 | Judith P Phillips | Physician Assistant | 24 Auburn Street, Malden, MA 02148 | 2017-07-19 |
| Find all providers in zip 02148 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164996971 | Helen Marie Spignese | Counselor | 8 Knollin St, Malden, MA 02148-2825 | 2019-01-15 |
| 1871083246 | Tyera Nicole Godfrey | Counselor | 12 Perkins Ave, Malden, MA 02148-7502 | 2018-05-11 |
| 1629593637 | David Acuna | Counselor | 22 Plesant Street, Malden, MA 02148 | 2017-08-10 |
| 1215464441 | Amy Kade | Counselor | 22 Pleasant St # 2000, Malden, MA 02148-5119 | 2017-05-18 |
| 1972053841 | Ashley Monique Farrar | Counselor | 32 Holyoke St Unit 1, Malden, MA 02148-5609 | 2016-10-04 |
| 1548687023 | Maria Lopes | Counselor | 429 Ferry St, Malden, MA 02148-7847 | 2014-03-24 |
| 1154744886 | Gabriela Demello | Counselor | 6 Pleasant St Ste 407, Malden, MA 02148-5167 | 2014-01-31 |
| 1114236726 | Yves Bellevue Sr. | Counselor | 220 Belmont St, 3, Malden, MA 02148-7831 | 2010-09-29 |
| 1447491311 | Ishman Williams | Counselor | 6 Pleasant St Ste 513, Malden, MA 02148-5167 | 2009-03-23 |
| 1073708764 | Jennifer Louise Stebbins-han | Counselor | 45 Claremont St, Malden, MA 02148-4644 | 2007-09-06 |
| Find all providers in MALDEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.