Active NPIIndividual providerSole proprietor

Dr. Kevin T Mundt, PSYD

Psychologist in Medford, Massachusetts

NPI Number1124896915
Practice location
11 Garden St, Medford, MA 02155-3219
Fax
—
Last updated
December 12, 2023

Kevin T Mundt is a Psychologist based in Medford, MA. Kevin T Mundt practices in Medford, MA and has the professional credentials of PSYD. The NPI Number for Kevin T Mundt is 1124896915 and holds a License No. 11746 (NJ). The current practice location address for Kevin T Mundt is 11 Garden St, Medford, MA 02155-3219 and can be reached out via phone at 551-427-3290.

Provider Profile Details

NPI Number
1124896915
Provider Name
Kevin T Mundt
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
11 Garden St, Medford, MA 02155-3219
Phone Number
551-427-3290
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 12, 2023
Last Update Date
December 12, 2023
Certification Date
December 12, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 Garden St
Medford, MA 02155-3219
Zip
02155-3219
Phone Number
551-427-3290
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
11 Garden St
Medford, MA 02155-3219
City
Medford
State
MA
Zip
02155-3219
Phone Number
551-427-3290

License Information

License Number
11746
License State
NJ
Taxonomy
Psychologist · 103T00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Dr. Kevin T Mundt, PSYD?

The NPI number of Dr. Kevin T Mundt, PSYD is 1124896915. It was assigned on December 12, 2023 and is currently active in the NPPES registry.

What is the specialty of Dr. Kevin T Mundt, PSYD?

Dr. Kevin T Mundt, PSYD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in NJ under license number 11746.

Where does Dr. Kevin T Mundt, PSYD practice?

The practice location is 11 Garden St, Medford, MA 02155-3219. The office can be reached at 551-427-3290 (phone).

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 1124896915 directly on the NPPES registry website.

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