Individual provider Active NPI

Kimberly Trainor, PSYD, NCSP, LEP

  • School Psychologist
  • West Boylston, MA
National Provider Identifier
1154968147
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
MH-ED-1205 Issued in MA
Practice address
360 W Boylston St RM 208
West Boylston, MA 01583-2384
Phone
(508) 556-0357
NPI assigned
Dec 9, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X MH-ED-1205 MA Primary

Addresses

Primary practice location

360 W Boylston St RM 208
West Boylston, MA 01583-2384

Mailing address

465 Lake Ave
Worcester, MA 01604-1367

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
MH-ED-1205MAMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Trainor Psychological Services LLC School CurrentSince Mar 22, 2020 Accepting new patients

Locations

360 W Boylston St
Rm 208
West Boylston, MA 01583
Phone (508) 556-0357

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": "1575849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1154968147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 LAKE AVE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016041367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 W BOYLSTON ST RM 208",
            "city": "WEST BOYLSTON",
            "state": "MA",
            "postal_code": "015832384",
            "telephone_number": "508-556-0357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAINOR",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "PSYD, NCSP, LEP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-09",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "MA",
            "license": "MH-ED-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Boylston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; 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.