DR. KIM MICHAEL WOYNOWSKIE JR.


Address: 625 Mount Auburn St Ste 102, Cambridge, MA 02138-4555
Phone: 6178704014

DR. KIM MICHAEL WOYNOWSKIE JR. (NPI# 1053836080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053836080
Entity Type Individual
Full Name DR. KIM MICHAEL WOYNOWSKIE JR.
Credential PSYD
Practice Address 625 Mount Auburn St Ste 102
Cambridge
MA 02138-4555
Mailing Address 115 Mill St
Mailstop 137
Belmont
MA 02478
Practice Telephone 6178704014
Enumeration Date 2017-08-10
Last Update Date 2020-04-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
11241 MA Behavioral Health & Social Service Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
115 Mill St, Belmont, MA 024781064 6178760643

Office Location

Street Address 625 MOUNT AUBURN ST STE 102
City CAMBRIDGE
State MA
Zip Code 02138-4555

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922618610 Khushboo Vijay Bhatia Student in an Organized Health Care Education/Training Program Internal Medicine Residency Program, Mount Auburn Hospi, 330 Mt. Auburn Street, Cambridge, MA 02138 2020-08-06
1780204156 Ashna Grover Student in an Organized Health Care Education/Training Program 330 Mt Auburn Street Mount Auburn Hospital, Internal Medicine Residency Program, Cambridge, MA 02138 2020-04-25
1790330298 Cambridge Periodontics LLC Dentist 1692 Massachusetts Ave Ste 3, Cambridge, MA 02138 2019-08-02
1295389765 Yulia Levit Technician/Technologist 1208 Massachussets Av, Cambridge, MA 02138 2019-08-01
1720645393 Chinmay Tusharkumar Jani Student in an Organized Health Care Education/Training Program Mount Auburn Hospital, 330 Mt Auburn Street, Cambridge, MA 02138 2019-05-20
1386209831 Alexander Ryan Walker Internal Medicine 300 Mount Auburn Street Mount Auburn Hospital, Dept. of Medicine, Cambridge, MA 02138 2019-05-09
1659844868 Aimee Hsieh Social Worker 525 Mount Auburn Street, Cambridge, MA 02138 2019-01-10
1043733389 Armida Fruzzetti Psychologist 900 Concord Avenue, Cambridge, MA 02138 2017-07-19
1174984827 Jenna Mezin Schmid Psychologist 75 Mt Auburn St 4 East, Harvard University Health Services, Cambridge, MA 02138 2016-03-09
1316313208 Kelly Abbott Optometrist 12 Eliot St., Cambridge, MA 02138 2015-08-14
Find all providers in zip 02138

Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114537131 Annemarie Baldauf, Psyd, Pllc Psychologist 49 Hancock St Ste 104, Cambridge, MA 02139-3188 2020-08-04
1881216588 Massomeh Namavar Psychologist 221 Mount Auburn St Apt 104, Cambridge, MA 02138-4848 2020-05-15
1396367736 Laura Genelle Meza Valencia Psychologist One Mifflin Place, Suite 400, Cambridge, MA 02138-4946 2020-05-07
1033672100 Dr Kerrie LLC Psychologist 10 Hawthorne Park, Cambridge, MA 02138-2104 2019-04-07
1912481227 Mary E. Ford Psychologist 195 Harvey St, Cambridge, MA 02140-1765 2018-09-21
1871089227 Ellsworth Fersch Psychologist 70 Richdale Ave Apt 2, Cambridge, MA 02140-2640 2018-07-09
1134610751 Jill Hooley Psychologist 33 Kirkland St, Cambridge, MA 02138-2044 2018-05-21
1306383351 Elise I Welton Psychologist 22 Water St, Apt. 411, Cambridge, MA 02141-1257 2017-01-30
1174984827 Jenna Mezin Schmid Psychologist 75 Mt Auburn St 4 East, Harvard University Health Services, Cambridge, MA 02138 2016-03-09
1083084222 Cherish Deoliveira Psychologist 875 Massachusetts Ave Ste 43, Cambridge, MA 02139-3067 2015-09-30
Find all providers in CAMBRIDGE

Competitor

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City CAMBRIDGE
Zip Code 02138

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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