Healthcare Provider Details

I. General information

NPI: 1053258533
Provider Name (Legal Business Name): PSYCHE CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 KINNAIRD ST APT 3
CAMBRIDGE MA
02139-3842
US

IV. Provider business mailing address

3 KINNAIRD ST APT 3
CAMBRIDGE MA
02139-3842
US

V. Phone/Fax

Practice location:
  • Phone: 510-432-4114
  • Fax:
Mailing address:
  • Phone: 510-432-4114
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name: MS. MALLIKA PAJJURI
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 510-432-4114