Chivimbiso Tawayena Kapungu, PH.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

8854 Issued in MA

Practice address

200 Springs Rd
Bedford, MA 01730-1114

Phone

(781) 687-2378

NPI assigned

Apr 22, 2008

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1700050739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 OAK ST",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021434030",
            "telephone_number": "617-623-6354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SPRINGS RD",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017301114",
            "telephone_number": "781-687-2378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPUNGU",
        "first_name": "CHIVIMBISO",
        "middle_name": "TAWAYENA",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "8854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edith Kabuga, C.N.P.
• Richard C Kaiser, M.D.
• Jenesse Kaitz
• Lorna Kalajian, ANP
• Eleni Ahmahra Kapoulea, PHD
• Ashley Karapatsas, PHARMD
• Madeleine Karpel, PH.D.
• Jane Karpovsky, MSPT
• Amir Kasouha, D.M.D.
• Matthew Katon

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.