Organization Active NPI

Nora Ilniczky, PH.D., Psychotherapy and Wellbeing, LLC.

  • Adult Mental Health Clinic/Center
  • Cambridge, MA
National Provider Identifier
1013141993
Registry record updated May 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
8701 Issued in MA
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

Updated by the provider on May 7, 2009

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.