Kristine Renee Mamchur, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

9010 Issued in MA

Practice address

31 Hall Dr
Amherst Medical Center
Amherst, MA 01002-2751

Phone

(413) 256-4441

Fax

(413) 256-4412

NPI assigned

Jun 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346198400000",
    "number": "1437186426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5700",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049155700",
            "telephone_number": "866-431-4077",
            "fax_number": "413-774-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 HALL DR",
            "address_2": "AMHERST MEDICAL CENTER",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010022751",
            "telephone_number": "413-256-4441",
            "fax_number": "413-256-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMCHUR",
        "first_name": "KRISTINE",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2012-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VT",
            "license": "048-0000877",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "9010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blair J Maerowitz, PA-C
• Nora Mary Mahoney, PA-C
• Andrea Maitinsky Keins, PH.D. PSYCHOLOGIST
• Nicole M Makris, FNP
• Julio Xavier Raagas Mallonga, PT, DPT
• Laura Manfield-Goodridge, DO
• Stacie Diane Manning, MSN, RN, FNP-BC
• Robyn Marcow, LMHC
• Sarah Marcus, LICSW
• Marlene Meinelt, Licsw

• Clinical Psychologist in Amherst, MA
• Providers in Amherst, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.