DIANE T KWASNICK (NPI# 1720129612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720129612 |
| Entity Type | Individual |
| Full Name | DIANE T KWASNICK |
| Credential | EDD |
| Practice Address |
9 Babcock St Brookline MA 02446-5903 |
| Practice Telephone | 6177342007 |
| Practice Fax Number | 6177347165 |
| Mailing Telephone | 6177342007 |
| Mailing Fax Number | 6177347165 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
3120 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BLUE CROSS BLUE SHIELD | KWWO3226 | 01 |
| Street Address |
9 BABCOCK ST |
| City | BROOKLINE |
| State | MA |
| Zip Code | 02446-5903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639165624 | Paul Hamburg | Psychiatry & Neurology | 9 Babcock St, Brookline, MA 02446-5903 | 2005-09-23 |
| 1205979101 | Mikele Rauch | Marriage & Family Therapist | 9 Babcock St, Brookline, MA 02446-5903 | 2007-02-14 |
| 1245371145 | Karen Rosen | Psychologist | 9 Babcock St, Brookline, MA 02446-5903 | 2007-02-12 |
| 1306987292 | Virginia A Byron | Psychologist | 9 Babcock St, Brookline, MA 02446-5903 | 2007-02-12 |
| 1275694234 | Brookline Psychological Services | Psychologist | 9 Babcock St, Brookline, MA 02446-5903 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588218127 | Mohammad Ali Zafar | Social Worker | 11 Stearns Rd Apartment#1, Brookline, MA 02446 | 2019-08-01 |
| 1730659368 | Boston Family Therapy & Wellness Pllc | Clinic/Center | 1330 Beacon Street Suite 263, Brookline, MA 02446 | 2018-11-27 |
| 1518442078 | Elizabeth Dorsey | Social Worker | Boston Graduate School of Psychoanalysis, 1581 Beacon Street, Brookline, MA 02446 | 2018-10-01 |
| 1467936732 | Helen Elizabeth Weiner | Social Worker | 6 Churchill Sstreet, Brookline, MA 02446 | 2018-09-21 |
| 1285116640 | Dawn Higgins | Social Worker | 227 Summit Avenue W304, Brookline, MA 02446 | 2018-09-03 |
| 1528540978 | Shana Joan Turowitz | Social Worker | 156 Lawton Street, Brookline, MA 02446 | 2018-09-02 |
| 1528563996 | Lauren H Shin | Pediatrics | 150 Pleasant St Unit 309, Brookline, MA 02446 | 2018-03-28 |
| 1821512872 | Ilana Lindsay Cooper | Psychologist | 1093 Beacon St Ste 401, Brookline, MA 02446 | 2017-08-01 |
| 1538683735 | Elizabeth Apkin | Psychologist | 1330 Beacon Street Suite 201, Brookline, MA 02446 | 2017-07-29 |
| 1366963258 | Maria Antonietta Mazzola | Psychiatry & Neurology | 57 Manchester Rd, Brookline, MA 02446 | 2017-06-29 |
| Find all providers in zip 02446 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174173785 | Kai Le Page Bekkeli | Psychologist | 251 Harvard St Ste 8, Brookline, MA 02446-5000 | 2019-09-16 |
| 1831662774 | Shiraz Levkovich | Psychologist | 1371 Beacon St Ste 304-305, Brookline, MA 02446-4905 | 2019-01-03 |
| 1821512872 | Ilana Lindsay Cooper | Psychologist | 1093 Beacon St Ste 401, Brookline, MA 02446 | 2017-08-01 |
| 1538683735 | Elizabeth Apkin | Psychologist | 1330 Beacon Street Suite 201, Brookline, MA 02446 | 2017-07-29 |
| 1972968451 | Robert Thomson Kinscherff | Psychologist | 117 Franklin St # 2, Brookline, MA 02445-6701 | 2015-12-28 |
| 1124436225 | Emily Inglesi | Psychologist | 1530 Beacon St, Apt 207, Brookline, MA 02446-2630 | 2014-08-01 |
| 1114355815 | Nancy Lorene Gregg | Psychologist | 153 Naples Rd, Brookline, MA 02446-5747 | 2013-10-16 |
| 1437412467 | Joel Simons | Psychologist | 1683 Beacon St, Brookline, MA 02445 | 2012-06-25 |
| 1841565959 | Ava Bry Penman | Psychologist | 29 Salisbury Rd, Brookline, MA 02445-2104 | 2012-03-22 |
| 1730469586 | Jessica Laurel Gashin | Psychologist | 1731 Beacon St, Unit 1206, Brookline, MA 02445-5350 | 2011-08-25 |
| Find all providers in BROOKLINE | ||||
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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.