Mark Kinchla, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

10081 Issued in MA

Practice address

154 E Central St Ste 201
Natick, MA 01760

Phone

(978) 604-5561

Fax

(509) 319-3307

NPI assigned

Dec 17, 2009

Last updated

Apr 15, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Clinical Psychologist

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Making Way Counseltation P.C.

  • Clinical Psychologist
  • Natick, MA
  • NPI 1447643762
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1871822098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 E CENTRAL ST STE 201",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017603644",
            "telephone_number": "978-604-5561",
            "fax_number": "509-319-3307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 E CENTRAL ST STE 201",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "01760",
            "telephone_number": "978-604-5561",
            "fax_number": "509-319-3307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28 Forest Ave",
            "address_purpose": "LOCATION",
            "city": "Natick",
            "state": "MA",
            "postal_code": "017604806",
            "country_code": "US",
            "telephone_number": "978-604-5561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINCHLA",
        "first_name": "MARK",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-17",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "10081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "I20150319000938",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1871822098",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johanne Y Kim, DDS
• Rachel E Kim, PHD
• Ryan Kim, DPT
• Kimberly O'Brien Pmhnp Inc
• Hannah Jane Kimler
• Emily King, MSOT
• Lauren Kisver, MS, CCC-SLP
• Clara Elizabeth Kjelsberg, MA, LMHC
• Maureen O'Brien Klautky, PSY.D.
• Stella Kleinbock, LMHC

• Clinical Psychologist in Natick, MA
• Providers in Natick, 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 15, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.