Active NPIIndividual provider

Dr. Jennie Kuckertz

Psychologist, Clinical in Belmont, Massachusetts

NPI Number1174937692
Practice location
115 Mill St, Belmont, MA 02478-1064
Fax
—
Last updated
October 28, 2020

Jennie Kuckertz is a Psychologist, Clinical based in Belmont, MA. Jennie Kuckertz practices in Belmont, MA. The NPI Number for Jennie Kuckertz is 1174937692 and holds a License No. 11367 (MA). The current practice location address for Jennie Kuckertz is 115 Mill St, Belmont, MA 02478-1064 and can be reached out via phone at 617-855-2962.

Provider Profile Details

NPI Number
1174937692
Provider Name
Jennie Kuckertz
Provider Entity Type
Individual
Gender
Female
Address
115 Mill St, Belmont, MA 02478-1064
Phone Number
617-855-2962
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Provider Enumeration Date
June 12, 2014
Last Update Date
October 28, 2020
Certification Date
October 28, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
115 Mill St
Belmont, MA 02478-1064
Zip
02478-1064
Phone Number
617-855-2962
Belmont, MA 02478Get directions →

Provider Business Mailing Address Details

Address
3020 Childrens Way
Mc 5018
San Diego, CA 92123-4223
City
San Diego
State
CA
Zip
92123-4223
Phone Number
630-362-3645

License Information

License Number (2)
11367
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.

Other Psychologist, Clinical providers near Belmont, MA

View all Psychologist, Clinical providers in Belmont →

Frequently Asked Questions

What is the NPI number of Dr. Jennie Kuckertz?

The NPI number of Dr. Jennie Kuckertz is 1174937692. It was assigned on June 12, 2014 and is currently active in the NPPES registry.

What is the specialty of Dr. Jennie Kuckertz?

Dr. Jennie Kuckertz is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 11367.

Where does Dr. Jennie Kuckertz practice?

The practice location is 115 Mill St, Belmont, MA 02478-1064. The office can be reached at 617-855-2962 (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 1174937692 directly on the NPPES registry website.

Browse related providers