Individual provider Active NPI

Elaine Mary Giniewicz, ED.D.

  • Psychologist
  • Marstons Mills, MA
National Provider Identifier
1326063355
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6588 Issued in MA
Practice address
3821 Falmouth Rd
5-D
Marstons Mills, MA 02648-5701
Phone
(508) 428-6266
Fax
(508) 428-1007
NPI assigned
Jul 12, 2006
Sex
Female
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 6588 MA Primary

Addresses

Primary practice location

3821 Falmouth Rd
5-D
Marstons Mills, MA 02648-5701

Mailing address

3821 Falmouth Rd
5-D
Marstons Mills, MA 02648-5701
Phone (508) 428-6266

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
28268CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326063355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3821 FALMOUTH RD",
            "address_2": "5-D",
            "city": "MARSTONS MILLS",
            "state": "MA",
            "postal_code": "026485701",
            "telephone_number": "508-428-6266",
            "fax_number": "508-428-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3821 FALMOUTH RD",
            "address_2": "5-D",
            "city": "MARSTONS MILLS",
            "state": "MA",
            "postal_code": "026485701",
            "telephone_number": "508-428-6266",
            "fax_number": "508-428-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINIEWICZ",
        "first_name": "ELAINE",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "6588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marstons Mills, 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.