# IRIS BROKAW PSYCHIATRY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730099003
- **Authorized official:** SHANTELLE D BROKAW (NP)
- **Authorized official phone:** (617) 506-3565

## Contact information

- **Practice address:** 769 CENTRE ST, JAMAICA PLAIN, MA 02130-2557
- **Practice address phone:** (617) 506-3565
- **Mailing address:** 148 BLAKE ST, HYDE PARK, MA 02136-6137

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/09/2026
- **Last updated:** 09/15/2026