Mindy S Kopolow PSYD PA
Psychologist, Clinical in Woburn, Massachusetts
1073633327- Practice location
- 400 W Cummings Park, Suite 3400, Woburn, MA 01801-6519
- Phone
- 617-972-5055
- Fax
- 617-972-5011
- Last updated
- April 4, 2013
Mindy S Kopolow PSYD PA is a healthcare organization based in Woburn, MA. Mindy S Kopolow PSYD PA practices in Woburn, MA. The NPI Number for Mindy S Kopolow PSYD PA is 1073633327 and holds a License No. 851 (MA). The current practice location address for Mindy S Kopolow PSYD PA is 400 W Cummings Park, Suite 3400, Woburn, MA 01801-6519 and can be reached out via phone at 617-972-5055 and via fax at 617-972-5011.
Provider Profile Details
- NPI Number
- 1073633327
- Provider Name
- Mindy S Kopolow PSYD PA
- Provider Entity Type
- Organization
- Address
- 400 W Cummings Park, Suite 3400, Woburn, MA 01801-6519
- Phone Number
- 617-972-5055
- Fax Number
- 617-972-5011
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Organization Subpart
- No
- Authorized Official
- Dr. Mindy Sue Kopolow, MA, PSYD · President · 617-972-5055
- Provider Enumeration Date
- March 30, 2007
- Last Update Date
- April 4, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 400 W Cummings Park
Suite 3400
Woburn, MA 01801-6519 - City
- Woburn
- State
- Massachusetts
- Zip
- 01801-6519
- Phone Number
- 617-972-5055
- Fax Number
- 617-972-5011
Provider Business Mailing Address Details
- Address
- 400 W Cummings Park
Suite 3400
Woburn, MA 01801-6519 - City
- Woburn
- State
- MA
- Zip
- 01801-6519
- Phone Number
- 617-972-5055
- Fax Number
- 617-972-5011
License Information
- License Number (1)
- 851
- License State (1)
- MA
- Taxonomy (1)
- Counselor, Mental Health · 101YM0800X
- License Number (2)
- PY5819
- License State (2)
- FL
- Taxonomy (2)
- Psychologist, Clinical · 103TC0700X
- License Number (3)
- 8603
- License State (3)
- MA
- Taxonomy (3)
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mindy S Kopolow PSYD PA?
The NPI number of Mindy S Kopolow PSYD PA is 1073633327. It was assigned on March 30, 2007 and is currently active in the NPPES registry.
What is the specialty of Mindy S Kopolow PSYD PA?
Mindy S Kopolow PSYD PA is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 851.
Where does Mindy S Kopolow PSYD PA practice?
The practice location is 400 W Cummings Park, Suite 3400, Woburn, MA 01801-6519. The office can be reached at 617-972-5055 (phone) or 617-972-5011 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073633327 directly on the NPPES registry website.