Individual provider Active NPI

Rachel Laurin Konowitch

  • Psychologist
  • Pittsfield, MA
National Provider Identifier
1831542810
Registry record updated Jul 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
S12333548 Issued in MA
Practice address
388 Columbus Ave
Pittsfield, MA 01201-4903
Phone
(413) 499-4537
NPI assigned
Jul 14, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X S12333548 MA Primary

Addresses

Primary practice location

388 Columbus Ave
Pittsfield, MA 01201-4903

Mailing address

140 Dublin Rd
Pittsfield, MA 01201-8857
Phone (413) 281-0556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
S12333548MAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Development Center Past Accepting new patients

Organizations & group practices 1

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": "1468454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468454400000",
    "number": "1831542810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 DUBLIN RD",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012018857",
            "telephone_number": "413-281-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 COLUMBUS AVE",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014903",
            "telephone_number": "413-499-4537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONOWITCH",
        "first_name": "RACHEL",
        "middle_name": "LAURIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-14",
        "last_updated": "2016-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "S12333548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; 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.