Healthcare Provider Details

I. General information

NPI: 1992648885
Provider Name (Legal Business Name): BECKHAM ANDREW HAMLIN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 HIGHLAND AVE
NEEDHAM MA
02494-3023
US

IV. Provider business mailing address

19 MACKIN ST
BRIGHTON MA
02135-1218
US

V. Phone/Fax

Practice location:
  • Phone: 857-409-0302
  • Fax:
Mailing address:
  • Phone: 860-810-7453
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: