Kelly C Karl, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

9031 Issued in MA

Practice address

319 Longwood Ave Ste 6
Boston, MA 02115-5710

Phone

(617) 232-4858

NPI assigned

Jul 27, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1679703581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 SUNSET HILL RD",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021327846",
            "telephone_number": "617-596-4185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 LONGWOOD AVE STE 6",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155710",
            "telephone_number": "617-232-4858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "687 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Needham",
            "state": "MA",
            "postal_code": "024942232",
            "country_code": "US",
            "telephone_number": "781-559-8444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KARL",
        "first_name": "KELLY",
        "middle_name": "C",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-27",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "9031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Virginia Karish-Dodge, D.M.D.
• Navin Mithri Kariyawasam, MD
• Ami Karkar
• Mahima Karki
• Donna Jean Karl, APRN
• Ellen Cronin Karlberg, LCSW
• Samantha Karle, MD
• Monica Karlen
• Kirill Karlin, MD
• Lawrence I Karlin, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; 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.