DR. KATHERINE MARY KALLIEL (NPI# 1124044375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124044375 |
| Entity Type | Individual |
| Full Name | DR. KATHERINE MARY KALLIEL |
| Credential | ED.D. |
| Practice Address |
72 Fulton St Norwood MA 02062 |
| Mailing Address |
72 Fulton St Norwood MA 02062-2320 |
| Practice Telephone | 7817694233 |
| Mailing Telephone | 7817694233 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2019-07-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 5091 | MA | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 5091 | MA | Behavioral Health & Social Service Providers |
| N | 103TH0100X |
Psychologist Specialization: Health Service |
5091 | MA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Kindred Hospital Northeast Stoughton, 909 Sumner Street, Stoughton, MA 02072 | 7812978349 |
| Street Address |
72 FULTON ST |
| City | NORWOOD |
| State | MA |
| Zip Code | 02062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647530 | Lauren Taylor Robbins | Licensed Practical Nurse | 21 Centennial Drive Apt. #3, Norwood, MA 02062 | 2020-07-23 |
| 1013566645 | David Ora Bailey | Counselor | 109 Lenox St., Norwood, MA 02062 | 2019-09-06 |
| 1124599154 | Larisa Stein Dmd, PC-family Dentist | Dentist | 661 Washington Street, Suite 211, Norwood, MA 02062 | 2018-12-17 |
| 1861963134 | Noreen Donne O'hear | Social Worker | 33 George Willett Parkway, Cleveland School, Norwood, MA 02062 | 2018-12-16 |
| 1194242719 | Bidmc Pharmacy, Inc. | Pharmacy | 128 Carnegie Row Ste 110, Norwood, MA 02062 | 2017-08-24 |
| 1023534153 | Foscaldo Healthcare LLC | Home Health | 639 Washington Street, Norwood, MA 02062 | 2017-08-21 |
| 1841710845 | Julia Rose Straus | Speech-Language Pathologist | 101 Vanderbilt Avenue, Norwood, MA 02062 | 2017-06-21 |
| 1043754484 | Recovery Solutions LLC | Clinical Medical Laboratory | 151 Edgehill Rd, Norwood, MA 02062 | 2016-12-05 |
| 1780137273 | Gentle Dental Associates, LLC | Clinic/Center | 980 Providence Highway, Norwood, MA 02062 | 2016-08-01 |
| 1720458094 | Jada Evans | Psychologist | 18 Sturtevant Ave, Apt. 1, Norwood, MA 02062 | 2015-09-30 |
| Find all providers in zip 02062 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760741946 | Erica J Kalkut | Clinical Neuropsychologist | 89 Access Rd, Suite 24, Norwood, MA 02062-5229 | 2012-05-09 |
| 1285921254 | Anya Potter | Clinical Neuropsychologist | 89 Access Rd, Suite 24, Norwood, MA 02062-5229 | 2011-06-29 |
| 1821307885 | Amy Allgair | Clinical Neuropsychologist | 89 Access Rd Ste 24, Norwood, MA 02062-5233 | 2010-09-24 |
| 1619112422 | Melina E Griss | Clinical Neuropsychologist | 89 Access Rd Ste 24, Norwood, MA 02062 | 2008-12-08 |
| 1306043690 | Brendan Lynch | Clinical Neuropsychologist | 89 Access Rd, Ste 24, Norwood, MA 02062-5229 | 2007-06-29 |
| 1356462113 | Gayle Jeannette Secord | Clinical Neuropsychologist | 15 Cottage St, Norwood, MA 02062-2153 | 2007-04-02 |
| 1710035282 | Elizabeth O'shaughnessy | Clinical Neuropsychologist | 89 Access Rd, Suite 24, Norwood, MA 02062-5229 | 2007-01-08 |
| 1316095771 | Timothy Martin | Clinical Neuropsychologist | 89 Access Rd, Suite 24, Norwood, MA 02062-5229 | 2007-01-08 |
| 1457409195 | Anne Edgar | Clinical Neuropsychologist | 89 Access Rd, Suite 24, Norwood, MA 02062-5229 | 2007-01-08 |
| 1245388701 | Craig Malcolm | Clinical Neuropsychologist | 89 Access Rd, Suite 24, Norwood, MA 02062-5229 | 2007-01-08 |
| Find all providers in NORWOOD | ||||
Please comment or provide details below to improve the information on DR. KATHERINE MARY KALLIEL.
| 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.