Active NPI
Nora Ilniczky, PH.D., Psychotherapy and Wellbeing, LLC.
- Adult Mental Health Clinic/Center
- Cambridge, MA
National Provider Identifier
1013141993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- 8701
- Legal business name
- NORA ILNICZKY, PH.D., PSYCHOTHERAPY AND WELLBEING, LLC.
- Practice address
- 1158 Massachusetts Ave
Suite #307
Cambridge, MA 02138-5205 - Phone
- (617) 894-0055
- NPI assigned
- May 7, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nora Klara Ilniczky, PH.D.
- Title
- Clinical Psychologist
- Phone
- (617) 894-0055
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | 8701 | MA | Primary |
Addresses
Primary practice location
1158 Massachusetts Ave
Suite #307
Cambridge, MA 02138-5205
Mailing address
1158 Massachusetts Ave
Suite #307
Cambridge, MA 02138-5205
Phone (617) 894-0055
National Provider Directory
National Provider DirectoryLocations
1158 Massachusetts Ave
#307
Cambridge, MA 02138
Phone (617) 412-9169
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Somerville, MA
- NPI 1104930247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241654400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1241654400000",
"number": "1013141993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1158 MASSACHUSETTS AVE",
"address_2": "SUITE #307",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021385205",
"telephone_number": "617-894-0055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1158 MASSACHUSETTS AVE",
"address_2": "SUITE #307",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021385205",
"telephone_number": "617-894-0055"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORA ILNICZKY, PH.D., PSYCHOTHERAPY AND WELLBEING, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-07",
"last_updated": "2009-05-07",
"status": "A",
"authorized_official_last_name": "ILNICZKY",
"authorized_official_first_name": "NORA",
"authorized_official_middle_name": "KLARA",
"authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "617-894-0055",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "MA",
"license": "8701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.