DR. MARK JAY KLINE (NPI# 1295807238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295807238 |
| Entity Type | Individual |
| Full Name | DR. MARK JAY KLINE |
| Credential | PSY.D. |
| Practice Address |
11 Chapel Pl Wellesley MA 02481-3130 |
| Practice Telephone | 7812354950 |
| Practice Fax Number | 7812357176 |
| Mailing Telephone | 7812354950 |
| Mailing Fax Number | 7812357176 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
5030 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BLUE CROSSBLUE SHIELD | W04696 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003362252 | Mark Kline | Registered Nurse | 22170 W Nine Mile Rd, Southfield, MI 48033 | 2016-08-28 |
| 1477670495 | Mark Douglas Kline | Psychiatry & Neurology | 2319 N 45th St Ste 209, Seattle, WA 98103-6978 | 2007-03-23 |
| 1679522460 | Mark Allen Kline | Chiropractor | 6151 28th St Se, Grand Rapids, MI 49546-6935 | 2006-05-09 |
| 1104371996 | Mark Kline | Counselor | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2016-08-22 |
| 1306926670 | Mark Kline | Pediatrics | 6701 Fannin St, Houston, TX 77030-2316 | 2006-10-17 |
| 1194760595 | Mark Kline | Emergency Medicine | 400 W 7th St, Frederick, MD 21701-4506 | 2006-06-19 |
| 1952369159 | Mark E Kline | Radiology | 11209 N Tatum Blvd, Suite # 110, Phoenix, AZ 85028-3091 | 2006-05-04 |
| 1003896176 | Mark D Kline | Specialist | 1550 Boyson Rd, Hiawatha, IA 52233-2362 | 2006-01-17 |
| Street Address |
11 CHAPEL PL |
| City | WELLESLEY |
| State | MA |
| Zip Code | 02481-3130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750301966 | Human Relations Service, Inc | Psychologist | 11 Chapel Pl, Wellesley, MA 02481-3130 | 2006-07-20 |
| 1154932861 | Madeline Liakos | Social Worker | 11 Chapel Pl, Wellesley, MA 02481-3130 | 2020-08-14 |
| 1861022865 | Lucas Baker-siroty | Psychologist | 11 Chapel Pl, Wellesley, MA 02481-3130 | 2020-01-19 |
| 1497152508 | Alexandra Parkinson | Psychologist | 11 Chapel Pl, Wellesley, MA 02481-3130 | 2014-12-04 |
| 1194125781 | Kiley Gottschalk | Counselor | 11 Chapel Pl, Wellesley, MA 02481-3130 | 2014-09-02 |
| 1891195038 | Tracey L Hurd | Psychologist | 11 Chapel Pl, Wellesley, MA 02481-3130 | 2014-08-25 |
| 1598184541 | Christopher David Shutzer | Social Worker | 11 Chapel Pl, Wellesley, MA 02481-3130 | 2014-04-07 |
| 1750665386 | Allison Collins Ertl | Counselor | 11 Chapel Pl, Wellesley, MA 02481-3130 | 2011-09-30 |
| 1134438807 | Lindsay Mahoney Segar | Psychologist | 11 Chapel Pl, Wellesley, MA 02481-3130 | 2010-09-29 |
| 1952551152 | Lilith G. C. Sinha | Social Worker | 11 Chapel Pl, Wellesley, MA 02481 | 2008-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699329797 | Jeffrey A. Harrison, Dmd, PC | Dentist | 258 Washington Street, Wellesley, MA 02481 | 2019-07-26 |
| 1922651215 | Steffanie Accorsi | Behavior Technician | 110 Cedar St, Suite 10, Wellesley, MA 02481 | 2019-07-17 |
| 1023673977 | Alka Swarup | Occupational Therapist | 10 Hunnewell Street, Wellesley Hls, MA 02481 | 2019-05-07 |
| 1740779511 | Marianne Brandon | Psychologist | Marianne Brandon Phd, 25 Walnut St #202, Wellesley Hills, MA 02481 | 2018-05-07 |
| 1558722686 | Robin Cook-nobles | Psychologist | 106 Central Street, The Stone Center Wellesley College, Wellesley, MA 02481 | 2016-03-17 |
| 1851760169 | Samantha Eve Jordan | Student in an Organized Health Care Education/Training Program | 30 Washington Street Suite 300, Wellesley, MA 02481 | 2015-09-16 |
| 1942677224 | Sandra Schwartz | Physical Therapist | Summit Orthopedic Therapy, 40 Washington Street, Wellesly, MA 02481 | 2015-08-21 |
| 1053710467 | Train Boston Physical Therapy, Inc. | Exclusive Provider Organization | 34 Washington Street, Wellesley, MA 02481 | 2014-08-21 |
| 1124458344 | Allison Arrigg | Counselor | 11 Chapel Place, Human Relations Service, Wellesley Hills, MA 02481 | 2013-11-25 |
| 1932531472 | Abigail Gorman Daunis | Physical Therapist | 34 Washington St., Wellesley, MA 02481 | 2013-08-07 |
| Find all providers in zip 02481 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205328572 | Dennis Barr | Psychologist | 554 Washington St Ste 12, Wellesley, MA 02482-6473 | 2018-06-03 |
| 1497244479 | Dennis J Ceru | Psychologist | 25 Damien Rd, Wellesley, MA 02481-3404 | 2018-05-06 |
| 1942621636 | Julie Lee | Psychologist | 3 Frost Cir, Wellesley, MA 02482-2336 | 2013-12-23 |
| 1548579949 | Tammy M Bean | Psychologist | 8 Grove St Ste 300, Wellesley, MA 02482-7739 | 2010-10-02 |
| 1962648477 | Mitchell Robert Bornstein | Psychologist | 260 Wellesley Ave, Wellesley, MA 02481-6809 | 2009-01-05 |
| 1033366224 | Sarah R Karytko | Psychologist | 8 Grove St Ste 402, Wellesley, MA 02482-7798 | 2008-08-19 |
| 1689893547 | Ann Hagan Webb | Psychologist | 303 Worcester St, Wellesley, MA 02481-5339 | 2007-04-25 |
| 1679630826 | Richard H Stellar | Psychologist | 486 Washington Street, Wellesley, MA 02482 | 2007-01-03 |
| 1457410706 | Patricia M Conway | Psychologist | 8 Grove Street, Suite 303, Wellesley, MA 02482-7777 | 2006-12-06 |
| 1811055494 | Sharon L Baker | Psychologist | 39 Emerson Rd, Wellesley, MA 02481-3410 | 2006-12-05 |
| Find all providers in WELLESLEY | ||||
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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.