Active NPI
Judy Leopold Kantrowitz, PHD
- Psychologist
- Brookline, MA
National Provider Identifier
1184964900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 153
- Practice address
- 334 Kent St.
Brookline, MA 02446 - Phone
- (617) 738-1689
- Fax
- (617) 277-9564
- NPI assigned
- Feb 15, 2013
- Last updated
- Feb 15, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 153 | MA | Primary |
Addresses
Primary practice location
334 Kent St.
Brookline, MA 02446
Mailing address
334 Kent St.
Brookline, MA 02446
Phone (617) 738-1689
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Oct 17, 2024 through Oct 17, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 153 | MA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360886400000",
"number": "1184964900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "334 KENT ST.",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "02446",
"telephone_number": "617-738-1689",
"fax_number": "617-277-9564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "334 KENT ST.",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "02446",
"telephone_number": "617-738-1689",
"fax_number": "617-277-9564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANTROWITZ",
"first_name": "JUDY",
"middle_name": "LEOPOLD",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-15",
"last_updated": "2013-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.