Individual provider Active NPI

Diane P Kurinsky, EDD

  • Counseling Psychologist
  • Greenfield, MA
National Provider Identifier
1861530693
Registry record updated Sep 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
4490 Issued in MA
Practice address
277 Main St
Greenfield, MA 01301-3262
Phone
(413) 772-6080
Fax
(413) 772-2640
NPI assigned
Feb 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1917 MA
Counseling Psychologist 103TC1900X 4490 MA Primary
Marriage & Family Therapist 106H00000X 996 MA

Addresses

Primary practice location

277 Main St
Greenfield, MA 01301-3262

Mailing address

277 Main St
Greenfield, MA 01301-3262
Phone (413) 772-6080

Other identifiers 1

IdentifierTypeStateIssuer
WO4370OtherMABLUE CROSS PROVIDER NUM

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
I20111212000482 MA Practitioner - Clinical Psychologist 9335314806 Practice locations: Wendell, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Massachusetts Medical School, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

38 Wendell Depot Rd
Wendell, MA 01379-7901
Phone (413) 772-9788

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
996MAMDBehavioral Analyst
4490MAMDCounseling Psychologist
1917MAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316822400000",
    "number": "1861530693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 MAIN ST",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013013262",
            "telephone_number": "413-772-6080",
            "fax_number": "413-772-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 MAIN ST",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013013262",
            "telephone_number": "413-772-6080",
            "fax_number": "413-772-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURINSKY",
        "first_name": "DIANE",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "EDD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2011-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "1917",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MA",
            "license": "4490",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MA",
            "license": "996",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUM",
            "identifier": "WO4370",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, MA

Sources for this page

Verify at the official NPI Registry.