Healthcare Provider Details

I. General information

NPI: 1457214934
Provider Name (Legal Business Name): CLAVET PSYCHIATRY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 ALEWIFE BROOK PKWY # 1062
CAMBRIDGE MA
02138-1102
US

IV. Provider business mailing address

160 ALEWIFE BROOK PKWY # 1062
CAMBRIDGE MA
02138-1102
US

V. Phone/Fax

Practice location:
  • Phone: 857-444-9489
  • Fax:
Mailing address:
  • Phone: 857-444-9489
  • Fax: 857-302-7495

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. SAKIL CHUNDYDYAL
Title or Position: FOUNDING PSYCHIATRIST
Credential: MD
Phone: 857-444-9489