Provider Demographics
NPI:1932545381
Name:HARAKAS, PETER (PHD)
Entity type:Individual
Prefix:
First Name:PETER
Middle Name:
Last Name:HARAKAS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 BELMONT ST APT 23
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02143-2531
Mailing Address - Country:US
Mailing Address - Phone:617-460-3498
Mailing Address - Fax:
Practice Address - Street 1:94 PLEASANT ST STE 114
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02476-6534
Practice Address - Country:US
Practice Address - Phone:617-402-2658
Practice Address - Fax:617-402-2658
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-13
Last Update Date:2024-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103TB0200X
MA9635103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Single Specialty