Active NPI
Kelley Knoch-Kabarwal
- Clinical Psychologist
- Salem, MA
National Provider Identifier
1902146038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 10200
- Practice address
- 57 Highland Ave
Salem, MA 01970-2141 - Phone
- (978) 354-2705
- NPI assigned
- Feb 27, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 10200 | MA | Primary |
Addresses
Primary practice location
57 Highland Ave
Salem, MA 01970-2141
Mailing address
57 Highland Ave
Neurodevelopmental Center
Salem, MA 01970-2141
Phone (978) 354-2705
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10200 | MA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443657600000",
"number": "1902146038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 HIGHLAND AVE",
"address_2": "NEURODEVELOPMENTAL CENTER",
"city": "SALEM",
"state": "MA",
"postal_code": "019702141",
"telephone_number": "978-354-2705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 HIGHLAND AVE",
"city": "SALEM",
"state": "MA",
"postal_code": "019702141",
"telephone_number": "978-354-2705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOCH-KABARWAL",
"first_name": "KELLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-27",
"last_updated": "2015-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "10200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.