Coastal Psychological Center, LLC.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

COASTAL PSYCHOLOGICAL CENTER, LLC.

Practice address

36 Woburn St Ste 6
Reading, MA 01867-2903

Phone

(978) 276-9622

NPI assigned

Sep 24, 2018

Last updated

Sep 24, 2018By 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

Dr. Kelley Knoch-Kabarwal

Title

Neuropsychologist

Phone

(978) 276-9622

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537747200000",
    "number": "1407330509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 WOBURN ST STE 6",
            "city": "READING",
            "state": "MA",
            "postal_code": "018672903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 WOBURN ST STE 6",
            "city": "READING",
            "state": "MA",
            "postal_code": "018672903",
            "telephone_number": "978-276-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL PSYCHOLOGICAL CENTER, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-24",
        "last_updated": "2018-09-24",
        "status": "A",
        "authorized_official_last_name": "KNOCH-KABARWAL",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_title_or_position": "NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "978-276-9622",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Chung
• Georgia Chute, LICSW
• Dawn Ciccone
• Jarrett Lee Clayman, LMHC
• Michele Clopper, OTR
• Jessica Cody
• Michael Bruce Cohen, M.D.
• Linda Frances Collamore, RPT
• Jeffrey Joseph Colucci, PHD
• Compassion Thru Caring Wellness and Health (Compassion Thru Caring)

• Clinical Neuropsychologist in Reading, MA
• Providers in Reading, MA by specialty
• Clinical Neuropsychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.