Kinchla, Mark
Kinchla, Mark is an sole proprietor health care provider with primary practice located at 154 E Central St Ste 201 , Natick MA 01760. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Kinchla, Mark can be contacted via phone (978) 604-5561.Contact Information
Primary practice address
154 E Central St Ste 201
Natick MA 01760
Phone: (978) 604-5561
Fax: (509) 319-3307
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 10081 | Massachusetts |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1871822098 |
|---|---|
| LBN Legal business name | Kinchla, Mark |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 17th, 2009 |
| Last updated | Apr 15th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871822098 | NPPES |
| Massachusetts | Other | 1871822098 | INDIVIDUAL NPI |
| Massachusetts | MEDICAID | I20150319000938 | INDIVIDUAL NPI |
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