Individual provider Active NPI

Linda M Kaczor, PHD, MS

  • Health Service Psychologist
  • Norwell, MA
National Provider Identifier
1447330683
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service PsychologistTaxonomy code 103TH0100X
License
6175 Issued in MA
Practice address
167 Washington St
Norwell, MA 02061-1797
Phone
(781) 854-2826
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6175 MA
Health Service Psychologist 103TH0100X 6175 MA Primary

Addresses

Primary practice location

167 Washington St
Norwell, MA 02061-1797

Mailing address

167 Washington St
Norwell, MA 02061-1797
Phone (781) 854-2826

Other identifiers 6

IdentifierTypeStateIssuer
1992025506OtherMAAETNA
1992025506OtherMACIGNA
6100969OtherMAEVERCARE PROVIDER NUMBER
814620000OtherMAMAGELLAN PROVIDER NUMBER
1992025506OtherMAUNITED BEHAVIORAL
W04975OtherMABCBS PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050912001105 MA Practitioner - Clinical Psychologist 0840223749 Reassigns benefits to 2 organizations
Practice locations: Norwell, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

167 Washington St
Suite 42
Norwell, MA 02061-1797
Phone (781) 654-8862

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6175MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Caredoccomm CurrentSince May 7, 2021 Accepting new patients
Drlmk Inc Clinical CurrentSince Jun 24, 2024 Accepting new patients
Neurobehavioral Associates III, Inc Clinical PastSince May 25, 1999 Accepting new patients
Delphi Center of Quincy, Inc. Past Accepting new patients
Ipc Hospitalists of New England, P.C. Past Accepting new patients

Locations

390 Orleans Rd
North Chatham, MA 02650
Phone (508) 945-4611

167 Washington St
Ste 42
Norwell, MA 02061
Phone (617) 329-5354

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1447330683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 WASHINGTON ST",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611797",
            "telephone_number": "781-854-2826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 WASHINGTON ST",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611797",
            "telephone_number": "781-854-2826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACZOR",
        "first_name": "LINDA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "6175",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "MA",
            "license": "6175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1992025506",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1992025506",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE PROVIDER NUMBER",
            "identifier": "6100969",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN PROVIDER NUMBER",
            "identifier": "814620000",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL",
            "identifier": "1992025506",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "W04975",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwell, MA

Sources for this page

Verify at the official NPI Registry.