Individual provider Active NPI

Dennis Kolodziejski

  • Psychologist
  • Springfield, MA
National Provider Identifier
1154451920
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
883 Issued in MA
Practice address
1215 Wilbraham Rd
Wnec Box # 5001
Springfield, MA 01119-2654
Phone
(413) 782-1348
Fax
(413) 796-2216
NPI assigned
Mar 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 883 MA Primary

Addresses

Primary practice location

1215 Wilbraham Rd
Wnec Box # 5001
Springfield, MA 01119-2654

Mailing address

1215 Wilbraham Rd
Wnec Box # 5001
Springfield, MA 01119-2654
Phone (413) 782-1348

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

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154451920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 WILBRAHAM RD",
            "address_2": "WNEC BOX # 5001",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011192654",
            "telephone_number": "413-782-1348",
            "fax_number": "413-796-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 WILBRAHAM RD",
            "address_2": "WNEC BOX # 5001",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011192654",
            "telephone_number": "413-782-1348",
            "fax_number": "413-796-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLODZIEJSKI",
        "first_name": "DENNIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.