DR. PAUL LEE KOPPENHAVER (NPI# 1346566122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346566122 |
| Entity Type | Individual |
| Full Name | DR. PAUL LEE KOPPENHAVER |
| Credential | PHD |
| Practice Address |
85 E Newton St Boston MA 02118-2340 |
| Practice Telephone | 8009814357 |
| Practice Fax Number | 6174148306 |
| Mailing Telephone | 8009814357 |
| Mailing Fax Number | 6174148306 |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2010-04-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
284419 | MA | Behavioral Health & Social Service Providers |
| N | 101YS0200X |
Counselor Specialization: School |
284419 | MA | Behavioral Health & Social Service Providers |
| Y | 103TS0200X |
Psychologist Specialization: School |
284419 | MA | Behavioral Health & Social Service Providers |
| Street Address |
85 E NEWTON ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02118-2340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598752537 | Maryann Whalen Campion | Genetic Counselor, MS | 85 E Newton St, M913, Boston, MA 02118-2340 | 2005-10-04 |
| 1407457336 | Samantha Kruger | Social Worker | 85 E Newton St, Boston, MA 02118-3553 | 2020-11-06 |
| 1508472523 | Buneshte Kombiz Hakhamaneshy | Counselor | 85 E Newton St, Boston, MA 02118-3553 | 2020-09-16 |
| 1831721638 | Jennifer Driscoll | Counselor | 85 E Newton St, Boston, MA 02118-2389 | 2020-02-10 |
| 1780224071 | Anne D Womer | Social Worker | 85 E Newton St, Boston, MA 02118-3553 | 2020-01-14 |
| 1699319053 | Lauren Dushay | Social Worker | 85 E Newton St, Boston, MA 02118-2389 | 2019-10-29 |
| 1366094203 | Emily Carlson | Counselor | 85 E Newton St, Boston, MA 02118-2841 | 2019-07-11 |
| 1093376428 | Hannah Daley | Counselor | 85 E Newton St, Boston, MA 02118-2841 | 2019-06-26 |
| 1821655382 | Shaynne Bulgar | Social Worker | 85 E Newton St, Boston, MA 02118-2841 | 2019-05-21 |
| 1275094153 | Lenora D. Benson | Social Worker | 85 E Newton St, Boston, MA 02118-2841 | 2019-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870023 | Carlos E Salazar | Counselor | Hcrc 23 Bradston St., Boston, MA 02118 | 2020-10-27 |
| 1780292607 | Jinal Gandhi | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Boston, MA 02118 | 2020-07-16 |
| 1669094777 | German Eduardo Velez | Student in an Organized Health Care Education/Training Program | One Boston Medical Center Place Boston Medical Center, Boston, MA 02118 | 2020-05-12 |
| 1255969895 | Isabela Medeiros Heringer Pereira | Student in an Organized Health Care Education/Training Program | 670 Albany Stree, 4th Floor, Boston, MA 02118 | 2020-03-30 |
| 1033746466 | Karan Sunil Hingorani | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Precepting Room, Boston, MA 02118 | 2020-03-25 |
| 1326672791 | Azza Ahmed | Dentist | 635 Albany St. G-744, Boston, MA 02118 | 2020-02-25 |
| 1538707401 | Jane Margolis | Social Worker | 840 Harrison Ave., Dowling 2 South, Boston, MA 02118 | 2019-12-11 |
| 1871134833 | Supontep Teerakanok | Dentist | Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 | 2019-10-01 |
| 1750939583 | Qasim Silman Ajmi | Orthopaedic Surgery | Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 | 2019-08-26 |
| 1922655539 | Jami Ryan Pollard | Physician Assistant | 840 Harrison Avenue, Menino Building, Boston, MA 02118 | 2019-08-20 |
| Find all providers in zip 02118 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487131926 | Amy Susan Fleissner Collins | Psychologist | 8910 Boston State Rd, Boston, NY 14025-9610 | 2018-07-27 |
| 1649589284 | James Mullen Cressey | Psychologist | 72-74 E Dedham St, Boston, MA 02118 | 2010-09-30 |
| 1306321740 | Jean Cook | Psychologist | 16 Louisburg Sq, Boston, MA 02108 | 2018-10-02 |
| 1972051621 | Ruth Chaffee | Psychologist | 53 Parker Hill Ave, Boston, MA 02120-3225 | 2016-09-12 |
| 1447652284 | Deirdre Byrne | Psychologist | 72 E Dedham St, Boston, MA 02118-2315 | 2014-09-24 |
| 1396005351 | Lauren Marston | Psychologist | 72 E Dedham St, Boston, MA 02118-2315 | 2012-05-24 |
| 1609183888 | Jessica Dawn Gleason | Psychologist | 30 Warren St, Boston, MA 02135-3602 | 2010-09-09 |
| 1609194752 | Othniel St-ulme | Psychologist | 72 E Dedham St, Boston, MA 02118-2315 | 2010-05-13 |
| 1619137957 | Gloria Maria Austrich | Psychologist | 1960 Washington St, Boston, MA 02118-3219 | 2008-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730151 | Jennifer Beardslee | Psychologist | 116 Bridge St, Beverly, MA 01915-2851 | 2020-11-06 |
| 1114536554 | Jonathan Mari | Psychologist | 55 Cedar St Apt 2, Somerville, MA 02143-2289 | 2020-07-30 |
| 1275150807 | Tessa Lashley | Psychologist | 19 Meadow Pond Dr Apt K, Leominster, MA 01453-4252 | 2020-06-30 |
| 1003431644 | Christina Young | Psychologist | 340 Lowell St, Wakefield, MA 01880-1726 | 2020-06-09 |
| 1134743651 | Lin Tang | Psychologist | 60 Rolling Ridge Rd, Amherst, MA 01002-1419 | 2020-06-01 |
| 1356964985 | Lori Sawyer | Psychologist | 372 Olivia Dr, Northbridge, MA 01534-1292 | 2020-05-18 |
| 1114566957 | Kelly Giorgi | Psychologist | 1601b South St, Barre, MA 01005-8822 | 2019-12-26 |
| 1154968147 | Kimberly Trainor | Psychologist | 360 W Boylston St Rm 208, West Boylston, MA 01583-2384 | 2019-12-09 |
| 1154976264 | Jillian Goodrich | Psychologist | 629 Massachusetts Ave Ste 201, Boxborough, MA 01719-1528 | 2019-08-06 |
| 1801371307 | Alisa Pozner | Psychologist | 51 Hatch St, Marshfield, MA 02050-2449 | 2018-10-01 |
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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.