Individual provider Active NPI

Zara Konarski, PMHCNS

  • Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
  • Medford, MA
National Provider Identifier
1235320383
Registry record updated Jul 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0807X
License
268179 Issued in MA
Practice address
124 Professors Row
Medford, MA 02155
Phone
(617) 627-3350
Fax
(617) 627-3592
NPI assigned
Aug 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist 364SP0807X 268179 MA Primary

Addresses

Primary practice location

124 Professors Row
Medford, MA 02155

Mailing address

124 Professors Row
Medford, MA 02155-5816
Phone (617) 627-3350

Other practice location 1

77 Rumford Ave
2nd Floor
Waltham, MA 02453-3872
Phone (781) 894-4307 ext. 50

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
268179MAMDChild & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Tufts University Health Service Past Accepting new patients
The Key Program, Incorporated. PastSince Nov 1, 2020 Accepting new patients
Neurobehavioral Associates III, Inc Psychiatric/Mental Health, Child & Adolescent PastSince May 25, 1999 Accepting new patients

Organizations & group practices 3

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": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532044800000",
    "number": "1235320383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 PROFESSORS ROW",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021555816",
            "telephone_number": "617-627-3350",
            "fax_number": "617-627-3592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 PROFESSORS ROW",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "02155",
            "telephone_number": "617-627-3350",
            "fax_number": "617-627-3592"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "77 Rumford Ave",
            "address_2": "2nd Floor",
            "address_purpose": "LOCATION",
            "city": "Waltham",
            "state": "MA",
            "postal_code": "024533872",
            "country_code": "US",
            "telephone_number": "781-894-4307 x50",
            "fax_number": "781-894-1195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KONARSKI",
        "first_name": "ZARA",
        "name_prefix": "Ms.",
        "credential": "PMHCNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2018-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0807X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": "MA",
            "license": "268179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; 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.