Healthcare Provider Details

I. General information

NPI: 1922933167
Provider Name (Legal Business Name): IPEKCI PSYCHOTHERAPY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 FULLER ST APT 3
BROOKLINE MA
02446-5832
US

IV. Provider business mailing address

135 FULLER ST APT 3
BROOKLINE MA
02446-5832
US

V. Phone/Fax

Practice location:
  • Phone: 215-290-3458
  • Fax:
Mailing address:
  • Phone: 215-290-3458
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State

VIII. Authorized Official

Name: BEDIHA IPEKCI
Title or Position: COUNSELING PSYCHOLOGIST
Credential: PHD
Phone: 215-290-3458