Mindy Korol

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

02837 Issued in MD

Practice address

176 Thomas Johnson Dr
Suite 203
Frederick, MD 21702-4410

Phone

(301) 471-1705

Fax

(301) 695-8842

NPI assigned

Sep 2, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Enrolled in MD

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, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881796506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 THOMAS JOHNSON DR",
            "address_2": "SUITE 203",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024410",
            "telephone_number": "301-471-1705",
            "fax_number": "301-695-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 THOMAS JOHNSON DR",
            "address_2": "SUITE 203",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024410",
            "telephone_number": "301-471-1705",
            "fax_number": "301-695-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOROL",
        "first_name": "MINDY",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "02837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha D Koontz, PA-C
• Savannah Ruth Koontz, MS, BCBA, LBA
• Kopit Dental Care, PA (Kopit Dental Care)
• Michaela Katherine Kordell, PA-C
• Beverly Kornides, P.T.
• David W Kossoff, M.D.
• Nicholas Michael Kovacs, DPT
• Charles David Kovalchick, D.D.S.
• Sarah Kovalchick, PT
• John R Kovitch, DDS

• Clinical Psychologist in Frederick, MD
• Providers in Frederick, MD by specialty
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.