Active NPIIndividual providerSole proprietor

Dr. Rebecca S Kornblatt, PSYD

Psychologist, Clinical in Newton, Massachusetts

NPI Number1174710669
Practice location
10 Langley RD, Suite 200, Newton, MA 02459-1972
Fax
—
Last updated
January 18, 2012

Rebecca S. Kornblatt is a Psychologist, Clinical based in Newton, MA. Rebecca S. Kornblatt practices in Newton, MA and has the professional credentials of PSYD. The NPI Number for Rebecca S. Kornblatt is 1174710669 and holds a License No. 017233-1 (NY). The current practice location address for Rebecca S. Kornblatt is 10 Langley RD, Suite 200, Newton, MA 02459-1972 and can be reached out via phone at 617-615-6525.

Provider Profile Details

NPI Number
1174710669
Provider Name
Rebecca S. Kornblatt
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
10 Langley RD, Suite 200, Newton, MA 02459-1972
Phone Number
617-615-6525
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
September 27, 2007
Last Update Date
January 18, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 Langley RD
Suite 200
Newton, MA 02459-1972
City
Newton
Zip
02459-1972
Phone Number
617-615-6525
Newton, MA 02459Get directions →

Provider Business Mailing Address Details

Address
10 Langley RD
Suite 200
Newton, MA 02459-1972
City
Newton
State
MA
Zip
02459-1972
Phone Number
617-615-6525

License Information

License Number (1)
017233-1
License State (1)
NY
Taxonomy (1)
Psychologist, Clinical · 103TC0700X
License Number (2)
9176
License State (2)
MA
Taxonomy (2)
Psychologist, Clinical · 103TC0700X · 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. Rebecca S Kornblatt, PSYD?

The NPI number of Dr. Rebecca S Kornblatt, PSYD is 1174710669. It was assigned on September 27, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Rebecca S Kornblatt, PSYD?

Dr. Rebecca S Kornblatt, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NY under license number 017233-1.

Where does Dr. Rebecca S Kornblatt, PSYD practice?

The practice location is 10 Langley RD, Suite 200, Newton, MA 02459-1972. The office can be reached at 617-615-6525 (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 1174710669 directly on the NPPES registry website.

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