Mindy S Kopolow Psyd Pa
LBN: Mindy S Kopolow Psyd Pa
Mindy S Kopolow Psyd Pa is an health care organization with primary practice located at 400 W Cummings Park Suite 3400, Woburn MA 01801-6519. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
Mindy S Kopolow Psyd Pa can be contacted via phone (617) 972-5055, or through Kopolow, Mindy Sue via phone (617) 972-5055.
Contact Information
Primary practice address
400 W Cummings Park Suite 3400
Woburn MA 01801-6519
Phone: (617) 972-5055
Fax: (617) 972-5011
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 851 | Massachusetts |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY5819 | Florida |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 8603 | Massachusetts |
Profile Details
| NPI number | 1073633327 |
|---|---|
| LBN Legal business name | Mindy S Kopolow Psyd Pa |
| DBA Doing business as | |
| Authorized official | Kopolow, Mindy Sue MA, PSYD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 30th, 2007 |
| Last updated | Apr 4th, 2013 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073633327 | NPPES |
| Florida | Other | 54439 | BLUE CROSS BLUE SHIELD |
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