Sandra Ann Kujawski, MASTER OF SCIENCE

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

1115 W Chestnut St Ste 101
Brockton, MA 02301-7501

Phone

(508) 521-2287

Fax

(508) 580-5162

NPI assigned

Nov 7, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Sandra Ann Swider Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1609389196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 WEDGEWOOD RD",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064892871",
            "telephone_number": "860-426-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 W CHESTNUT ST STE 101",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023017501",
            "telephone_number": "508-521-2287",
            "fax_number": "508-580-5162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "237 Hamilton St",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061062983",
            "country_code": "US",
            "telephone_number": "860-578-1300",
            "fax_number": "860-951-7729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUJAWSKI",
        "first_name": "SANDRA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MASTER OF SCIENCE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-07",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "SWIDER",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sara Kubetin, RD
• Brian Kubi
• Jennifer Lynn Kubic Knight, LICSW
• Madhur Raj Singh Kuckreja, MD
• Alexander Siexi Kui
• Mark J. Kulbaski, MD
• Sagar Kulkarni
• Dietrich Henry Kulze III, L.I.C.S.W.
• Soryan Kumar
• Michelle C Kung, DPM

• Community/Behavioral Health Agency in Brockton, MA
• Providers in Brockton, MA by specialty
• Community/Behavioral Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.