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).
| 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 |
| 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 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 115 Mill St, Belmont, MA 024781064 | 6178760643 |
| Street Address |
625 MOUNT AUBURN ST STE 102 |
| City | CAMBRIDGE |
| State | MA |
| Zip Code | 02138-4555 |
| 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 Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| 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 | ||||
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| 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.