Mary Katherine Wollstadt

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

26 Central St
Somerville, MA 02143-2827

Phone

(617) 665-3370

Fax

(617) 625-1288

NPI assigned

Dec 21, 2018

Sex

Female

Sole proprietor

No

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)

Not enrolled

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

{
    "created_epoch": "1545350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545350400000",
    "number": "1699247163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 CENTRAL ST",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021432827",
            "telephone_number": "617-665-3370",
            "fax_number": "617-546-0879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 CENTRAL ST",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021432827",
            "telephone_number": "617-665-3370",
            "fax_number": "617-625-1288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Middlesex Ave",
            "address_purpose": "LOCATION",
            "city": "Somerville",
            "state": "MA",
            "postal_code": "021451102",
            "country_code": "US",
            "telephone_number": "617-591-6900",
            "fax_number": "617-591-6990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLLSTADT",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-21",
        "last_updated": "2018-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah L Wingerter, MD
• Amy Winkel-Gois, IBCLC
• Suzanne Rowe Wintner, LICSW, MSW
• Wise Mind LLC
• Nora Wolff
• Susan Wong, MD
• Benjamin Tyler Wood, PH.D.
• Debra Joan Wood, LIC AC, MACOM
• Garrison Cross Woodfield
• Nicolle Woods, M.S., BCBA

• Case Manager/Care Coordinator in Somerville, MA
• Providers in Somerville, MA by specialty
• Case Manager/Care Coordinator in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.