Healthcare Provider Details

I. General information

NPI: 1790616407
Provider Name (Legal Business Name): CLEAR AIR PSYCHIATRY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

185 DEVONSHIRE ST STE 902
BOSTON MA
02110-1413
US

IV. Provider business mailing address

185 DEVONSHIRE ST STE 902
BOSTON MA
02110-1413
US

V. Phone/Fax

Practice location:
  • Phone: 617-297-7058
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: KYLE GALATI
Title or Position: OWNER/MANAGER
Credential: DO
Phone: 617-297-7058