Active NPI
Brian Krylowicz, PH.D.
- Psychologist
- Springfield, MA
National Provider Identifier
1417253196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 9621
- Practice address
- 263 Alden St
Springfield College Counseling Center
Springfield, MA 01109-3707 - Phone
- (413) 748-3345
- Fax
- (413) 748-3444
- NPI assigned
- Jan 28, 2011
- Sex
- Male
- 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 | 9621 | MA | Primary |
Addresses
Primary practice location
263 Alden St
Springfield College Counseling Center
Springfield, MA 01109-3707
Mailing address
263 Alden St
Springfield College Counseling Center
Springfield, MA 01109-3707
Phone (413) 748-3345
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9621 | MA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404864000000",
"number": "1417253196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "263 ALDEN ST",
"address_2": "SPRINGFIELD COLLEGE COUNSELING CENTER",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011093707",
"telephone_number": "413-748-3345",
"fax_number": "413-748-3444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "263 ALDEN ST",
"address_2": "SPRINGFIELD COLLEGE COUNSELING CENTER",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011093707",
"telephone_number": "413-748-3345",
"fax_number": "413-748-3444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRYLOWICZ",
"first_name": "BRIAN",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-01-28",
"last_updated": "2014-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "9621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.