Healthcare Provider Details

I. General information

NPI: 1902624836
Provider Name (Legal Business Name): JULIA PSARAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2024
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BROOKLINE PL STE 327
BROOKLINE MA
02445-7238
US

IV. Provider business mailing address

175 HARVARD ST APT 3
BROOKLINE MA
02446-6415
US

V. Phone/Fax

Practice location:
  • Phone: 617-735-8585
  • Fax:
Mailing address:
  • Phone: 401-924-1623
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: