Active NPIIndividual providerSole proprietor

Dr. Kathryn Portnow, EDD

Counselor, Mental Health in Maynard, Massachusetts

NPI Number1639660053
Practice location
71 Powder Mill RD, Maynard, MA 01754-1410
Fax
—
Last updated
July 2, 2026

Kathryn Portnow is a Counselor, Mental Health based in Maynard, MA. Kathryn Portnow practices in Maynard, MA and has the professional credentials of EDD. The NPI Number for Kathryn Portnow is 1639660053 and holds a License No. LMHC10006901 (MA). The current practice location address for Kathryn Portnow is 71 Powder Mill RD, Maynard, MA 01754-1410 and can be reached out via phone at 781-641-3089.

Provider Profile Details

NPI Number
1639660053
Provider Name
Kathryn Portnow
Credential
EDD
Provider Entity Type
Individual
Gender
Female
Address
71 Powder Mill RD, Maynard, MA 01754-1410
Phone Number
781-641-3089
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
May 21, 2018
Last Update Date
July 2, 2026
Certification Date
July 2, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
71 Powder Mill RD
Maynard, MA 01754-1410
Zip
01754-1410
Phone Number
781-641-3089
Maynard, MA 01754Get directions →

Provider Business Mailing Address Details

Address
71 Powder Mill RD
Maynard, MA 01754-1410
City
Maynard
State
MA
Zip
01754-1410

License Information

License Number (1)
LMHC10006901
License State (1)
MA
Taxonomy (1)
Counselor, Mental Health · 101YM0800X · Primary
License Number (2)
PY8188
License State (2)
MA
Taxonomy (2)
Psychologist · 103T00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Counselor, Mental Health providers near Maynard, MA

View all Counselor, Mental Health providers in Maynard →

Frequently Asked Questions

What is the NPI number of Dr. Kathryn Portnow, EDD?

The NPI number of Dr. Kathryn Portnow, EDD is 1639660053. It was assigned on May 21, 2018 and is currently active in the NPPES registry.

What is the specialty of Dr. Kathryn Portnow, EDD?

Dr. Kathryn Portnow, EDD is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number LMHC10006901.

Where does Dr. Kathryn Portnow, EDD practice?

The practice location is 71 Powder Mill RD, Maynard, MA 01754-1410. The office can be reached at 781-641-3089 (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 1639660053 directly on the NPPES registry website.

Browse related providers