Individual provider Active NPI

Karina Rosy Fundora, MA

  • Clinical Psychologist
  • Framingham, MA
National Provider Identifier
1699373290
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY10000593 Issued in MA
Practice address
354 Waverley St
Framingham, MA 01702
Phone
(508) 852-1805
NPI assigned
Oct 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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 PSY10000593 MA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

354 Waverley St
Framingham, MA 01702

Mailing address

354 Waverley St
Framingham, MA 01702-7059

Other practice location 1

75 Bickford St
Jamaica Plain, MA 02130-1499
Phone (617) 971-2100

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address karina.fundora@childrens.harvard.edu
Direct Messaging Address karina_fundora@childrens.harvard.edu Boston Children's Hospital
Direct Messaging Address karina.fundora@kennedychc.org

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
I20250501000064 MA Practitioner - Clinical Psychologist 2365968484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

354 Waverley St
Framingham, MA 01702-7079
Phone (508) 370-0113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PSY10000593MAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Edward M. Kennedy Community Health Center, Inc CurrentSince Mar 1, 2025 Accepting new patients
Edward M. Kennedy Community Health Center, Inc CurrentSince Mar 1, 2025 Accepting new patients
Edward M. Kennedy Community Health Center, Inc Past Accepting new patients

Locations

354 Waverley St
Framingham, MA 01702
Phone (508) 270-5700

41 Cape Rd
Milford, MA 01757
Phone (508) 270-5750

605 Lincoln St
Worcester, MA 01605
Phone (508) 856-0104

115 NE Cutoff
Bldg 2
Worcester, MA 01606
Phone (508) 854-2122

19 Tacoma St
Worcester, MA 01605
Phone (508) 854-2122

650 Lincoln St
Worcester, MA 01605
Phone (508) 532-7318

Organizations & group practices 3

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": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1699373290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 WAVERLEY ST",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017027059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 WAVERLEY ST",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "01702",
            "telephone_number": "508-852-1805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Bickford St",
            "address_purpose": "LOCATION",
            "city": "Jamaica Plain",
            "state": "MA",
            "postal_code": "021301499",
            "country_code": "US",
            "telephone_number": "617-971-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUNDORA",
        "first_name": "KARINA",
        "middle_name": "ROSY",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "PSY10000593",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "karina.fundora@childrens.harvard.edu",
            "affiliation": "N",
            "address_1": "75 Bickford St",
            "city": "Jamaica Plain",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021301499",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "karina_fundora@childrens.harvard.edu",
            "affiliation": "Y",
            "affiliationName": "Boston Children's Hospital",
            "address_1": "75 Bickford St",
            "city": "Jamaica Plain",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021301499",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "karina.fundora@kennedychc.org",
            "affiliation": "N",
            "address_1": "354 Waverley St",
            "city": "Framingham",
            "state": "MA",
            "country_code": "US",
            "postal_code": "01702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Framingham, MA

Sources for this page

Verify at the official NPI Registry.