MEDICARE: SAFAH SAMIR BHATTI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor		MA

General Provider Information

NPI Number	:	1154255800
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAFAH SAMIR BHATTI

Provider Business Mailing Address
First Line	:	201 BROADWAY STE 575
Second Line	:
City	:	CAMBRIDGE
State	:	MA
Zip	:	02139-2161
Country	:	US
Telephone Number	:	617-301-4232
Fax Number	:	617-634-0238

Provider Business Practice Location Address
First Line	:	201 BROADWAY STE 575
Second Line	:
City	:	CAMBRIDGE
State	:	MA
Zip	:	02139-2161
Country	:	US
Telephone Number	:	617-301-4232
Fax Number	:	617-634-0238

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2026
Last Update Date	:	06/09/2026

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Directions to “ SAFAH SAMIR BHATTI ” Practice Location

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