Kevin Mazzola, PHD
Psychologist, Clinical in Concord, Massachusetts
1215758727- Practice location
- 30 Monument Sq Ste 150, Concord, MA 01742-1858
- Phone
- 617-661-1100
- Fax
- —
- Last updated
- November 27, 2024
Kevin Mazzola is a Psychologist, Clinical based in Concord, MA. Kevin Mazzola practices in Concord, MA and has the professional credentials of PHD. The NPI Number for Kevin Mazzola is 1215758727 and holds a License No. PSY10000169 (MA). The current practice location address for Kevin Mazzola is 30 Monument Sq Ste 150, Concord, MA 01742-1858 and can be reached out via phone at 617-661-1100.
Provider Profile Details
- NPI Number
- 1215758727
- Provider Name
- Kevin Mazzola
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 30 Monument Sq Ste 150, Concord, MA 01742-1858
- Phone Number
- 617-661-1100
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 18, 2024
- Last Update Date
- November 27, 2024
- Certification Date
- November 27, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 30 Monument Sq Ste 150
Concord, MA 01742-1858 - City
- Concord
- State
- Massachusetts
- Zip
- 01742-1858
- Phone Number
- 617-661-1100
Provider Business Mailing Address Details
- Address
- 34 Thornton RD
Chestnut Hill, MA 02467-3611 - City
- Chestnut Hill
- State
- MA
- Zip
- 02467-3611
- Phone Number
- 201-835-5580
License Information
- License Number
- PSY10000169
- License State
- MA
- Taxonomy
- 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 Kevin Mazzola, PHD?
The NPI number of Kevin Mazzola, PHD is 1215758727. It was assigned on October 18, 2024 and is currently active in the NPPES registry.
What is the specialty of Kevin Mazzola, PHD?
Kevin Mazzola, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number PSY10000169.
Where does Kevin Mazzola, PHD practice?
The practice location is 30 Monument Sq Ste 150, Concord, MA 01742-1858. The office can be reached at 617-661-1100 (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 1215758727 directly on the NPPES registry website.