DR. PETER A. KINNEY (NPI# 1992882765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992882765 |
| Entity Type | Individual |
| Full Name | DR. PETER A. KINNEY |
| Credential | ED.D. |
| Practice Address |
44 Wood Ave Bldg 2 Suite 8 Mansfield MA 02048-1255 |
| Practice Telephone | 5083392400 |
| Practice Fax Number | 5083392440 |
| Mailing Telephone | 5083392400 |
| Mailing Fax Number | 5083392440 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2010-11-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TH0100X |
Psychologist Specialization: Health Service |
327 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | MAGELLAN | 461006000 | 01 |
| MA | TUFTS | 700223 | 01 |
| MA | 0526495 | 05 | |
| MA | MBHP | 1899325 | 01 |
| MA | MAGELLAN | 43355 | 01 |
| MA | BCBSMA | W01187 | 01 |
| MA | AETNA | 1001352 | 01 |
| MA | UNITED HEALTHCARE | 6163711 | 01 |
| MA | AETNA | 4241710 | 01 |
| MA | BCBSMA | W10091 | 01 |
| MA | VALUEOPTIONS | 001863 | 01 |
| MD | VALUEOPTIONS | 014615 | 01 |
| MA | ANTHEM BCBS | ITSNHMCK00 | 01 |
| MA | CHAMPUS | S020061 | 01 |
| MA | UNITED BEHAVIORAL HEALTH | 46557-63711 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235473349 | Peter Joseph Kinney | Counselor | 360 Whiskey Hill Rd, Watsonville, CA 95076-8521 | 2012-11-15 |
| Street Address |
44 WOOD AVE BLDG 2 SUITE 8 |
| City | MANSFIELD |
| State | MA |
| Zip Code | 02048-1255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851376792 | Debra Joyce Sirota | Social Worker | 44 Wood Ave, Ste 2, Mansfield, MA 02048-0483 | 2005-12-14 |
| 1497832299 | Peter A Kinney | Psychologist | 44 Wood Ave, Bldg 2 Suite 8, Mansfield, MA 02048-1255 | 2006-11-01 |
| 1487631347 | Alan Donald Sirota | Psychologist | 44 Wood Ave, Ste 2, Mansfield, MA 02048 | 2005-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386293181 | Taylor Dabney | Specialist/Technologist | 1912 Francis Ave, Station Pointe Apt, Mansfield, MA 02048 | 2019-09-05 |
| 1720643935 | Emily Cecilia Pavidis | Doula | 1705 West Street, Mansfield, MA 02048 | 2019-05-02 |
| 1942784244 | Mary Rego Perry | Social Worker | 19 North White Pine Lane, Mansfield, MA 02048 | 2018-09-21 |
| 1306341078 | Danielle Haradon | Student in an Organized Health Care Education/Training Program | 42 Fieldstone Drve, Mansfield, MA 02048 | 2018-03-26 |
| 1750882353 | Mansfield Physical Therapy & Wellness LLC | Physical Therapist | 200 Chauncy St Ste 4, Mansfield, MA 02048 | 2018-02-28 |
| 1548671498 | Angela Silva | Developmental Therapist | 73 Elyse Rd, Mansfield, MA 02048 | 2014-05-14 |
| 1700123049 | Christy Kelly Ciccariello | Pediatrics | 4 Samoset Way, Mansfield, MA 02048 | 2013-01-07 |
| 1659620292 | Deirdre J Manning | Physical Therapist | 31 Oxford Road, Mansfield, MA 02048 | 2012-08-29 |
| 1043514706 | Carpen, Inc. | Health Maintenance Organization | 287 School St., Mansfield, MA 02048 | 2011-01-10 |
| 1295062545 | Theresa Melchionna Rhein | Social Worker | 450 Chauncy Street, Mansfield, MA 02048 | 2009-11-06 |
| Find all providers in zip 02048 | ||||
| Taxonomy Code | 103TH0100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health Service |
| A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
| Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497832299 | Peter A Kinney | Psychologist | 44 Wood Ave, Bldg 2 Suite 8, Mansfield, MA 02048-1255 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992312755 | Daniel Engmann | Psychologist | 316 Main St Ste 202, Worcester, MA 01608-1553 | 2020-09-25 |
| 1750903738 | Corrina D Salo | Psychologist | 5 Alcott St, Acton, MA 01720-5501 | 2020-05-12 |
| 1285286047 | Cinthia Diaz-ramirez | Psychologist | 4 Beverly Commons Dr Apt 36, Beverly, MA 01915-5559 | 2019-07-11 |
| 1144713090 | Laura Rogers | Psychologist | 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 | 2018-06-14 |
| 1124510383 | Deborah Christine Nelson | Psychologist | 39 Boxford Rd, Ipswich, MA 01938-1025 | 2018-06-04 |
| 1104358696 | Chloe Greenbaum | Psychologist | 872 Massachusetts Avenue, Suite 2-1, Cambridge, MA 02139-2316 | 2017-04-03 |
| 1801281233 | Maria Abreu | Psychologist | 4 Royal St, Lawrence, MA 01841-4120 | 2015-04-02 |
| 1003226713 | Kristy Shockley | Psychologist | 96 W Meadow Rd, Lowell, MA 01854-1421 | 2014-05-02 |
| 1174811426 | Rachel Fox-weinberg | Psychologist | 12 Butternut Rd., Westford, MA 01886-1351 | 2011-07-20 |
| 1770763237 | Lissa Young | Psychologist | 1017 Turnpike St Ste 12c, Canton, MA 02021-2847 | 2007-11-13 |
| Find all providers with the same taxonomy | ||||
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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.