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NPI Code Detail

MEDICARE: JONAH NAGHI LLC

MEDICARE: JONAH NAGHI LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1558209684
Entity Type Code : Organization
Provider Name (Legal Business Name) : JONAH NAGHI LLC
Provider Business Mailing Address
First Line : 659 BEACON ST
Second Line :
City : NEWTON CENTRE
State : MA
Zip : 02459-2003
Country : US
Telephone Number : 617-777-9961
Fax Number :
Provider Business Practice Location Address
First Line : 659 BEACON ST
Second Line :
City : NEWTON CENTRE
State : MA
Zip : 02459-2003
Country : US
Telephone Number : 617-777-9961
Fax Number :
Authorized Official
Title or Position : LICSW
Name : JONAH NAGHI
Credential :
Telephone Number : 617-777-9961
Provider Enumeration Date : 03/23/2026
Last Update Date : 03/23/2026

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