The Kolburne School, Inc.

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

5589A Issued in MA

Legal business name

THE KOLBURNE SCHOOL, INC.

Practice address

343 New Marlboro Southfield Rd
New Marlborough, MA 01230-2035

Phone

(413) 229-8787

Fax

(413) 229-4165

NPI assigned

Mar 15, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jeane K. Weinstein, MA

Title

Executive Director

Phone

(413) 229-8787

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346374832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 NEW MARLBORO SOUTHFIELD RD",
            "city": "NEW MARLBOROUGH",
            "state": "MA",
            "postal_code": "012302035",
            "telephone_number": "413-229-8787",
            "fax_number": "413-229-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 NEW MARLBORO SOUTHFIELD RD",
            "city": "NEW MARLBOROUGH",
            "state": "MA",
            "postal_code": "012302035",
            "telephone_number": "413-229-8787",
            "fax_number": "413-229-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KOLBURNE SCHOOL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEINSTEIN",
        "authorized_official_first_name": "JEANE",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "413-229-8787",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "MA",
            "license": "5589A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DCYF PROVIDER NUMBER",
            "identifier": "KS03956",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigail Crine, PHD, MFT
• Sarah Evans Feldman
• Jeoffrey Michael Hill, M.D.
• Melanie F Podsiadlo, PSYD
• Paige Elizabeth Smith Orloff, LCSW

• Emotionally Disturbed Childrens' Residential Treatment Facility in New Marlborough, MA
• Providers in New Marlborough, MA by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.