Individual provider Active NPI

Reid Watson Kenary, PSYD

  • Clinical Psychologist
  • Boston, MA
National Provider Identifier
1053152215
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY10000748 Issued in MA
Practice address
33 Soley St Unit 2
Boston, MA 02129-3310
Phone
(860) 916-0438
NPI assigned
Jun 3, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY10000748 MA Primary

Addresses

Primary practice location

33 Soley St Unit 2
Boston, MA 02129-3310

Mailing address

33 Soley St Unit 2
Boston, MA 02129-3310
Phone (860) 916-0438

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PSY10000748MAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pathway Behavioral Health LLC Clinical CurrentSince Aug 25, 2024 Accepting new patients

Locations

185 Devonshire St
Ste 501
Boston, MA 02110
Phone (617) 681-8107

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1053152215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 SOLEY ST UNIT 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021293310",
            "telephone_number": "860-916-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 SOLEY ST UNIT 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021293310",
            "telephone_number": "860-916-0438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENARY",
        "first_name": "REID",
        "middle_name": "WATSON",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "PSY10000748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.