Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicholas Moallem

Individual provider Mental Health Counselor · NPI 1912400110

Nicholas Moallem is a Mental Health Counselor in Cambridge, Massachusetts. Practices as a sole proprietor and works from 2 locations. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2018
Specialties on file
2

Practice location Address checks out

12 Inman St
Cambridge, MA 02139-2423
Phone: (779) 537-2243
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 71 Williams St Apt 3, Jamaica Plain, MA 02130-3856 — (779) 537-2243

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 12821-MH-CC. (MA)
Behavior Analyst Taxonomy 103K00000X

Record details

NPI number1912400110
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 14, 2018
Last updated in NPPESMarch 15, 2022
Certification dateMarch 15, 2022

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