DR. KATHRYN DARDECK (NPI# 1053494286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053494286 |
| Entity Type | Individual |
| Full Name | DR. KATHRYN DARDECK |
| Credential | EDD |
| Practice Address |
175 Derby St Ste 20 Hingham MA 02043-4051 |
| Practice Telephone | 7813613390 |
| Mailing Telephone | 7813613390 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2019-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
4449 | MA | Behavioral Health & Social Service Providers |
| Y | 103TH0100X |
Psychologist Specialization: Health Service |
4449 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | CIGNA | 2034137 | 01 |
| MA | BCBS PROVIDER NUMBER | W04342 | 01 |
| MA | EVERCARE PROVIDER NUMBER | 6101039 | 01 |
| Street Address |
175 DERBY ST STE 20 |
| City | HINGHAM |
| State | MA |
| Zip Code | 02043-4051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841750171 | Sandra Matthews | Speech-Language Pathologist | Outpatient Rehab - Hobart Grove, 207 Linden Ponds Way, Hingham, MA 02043 | 2019-03-22 |
| 1154805695 | Anne Marie Thompson | Social Worker | 160 Derby Street, #338, Hingham, MA 02043 | 2018-09-20 |
| 1023598794 | Invisible Orthodontics PC | Dentist | One Derby St Suite 2, Hingham, MA 02043 | 2018-08-21 |
| 1528506565 | Regis College | Nursing Care | 97 Hersey Street, Hingham, MA 02043 | 2017-02-10 |
| 1689934523 | Joanna Y. Chang | Physical Therapist | 188 Hms Halsted Dr, Hingham, MA 02043 | 2012-05-25 |
| 1427361336 | Jim Bailey | Counselor | 160 Old Derby St Ste 266, Hingham, MA 02043 | 2010-07-20 |
| 1194968222 | Eileen Mazzulli | Physical Therapist | Linden Ponds Outpatient Rehabilitation Clinic, 205 Linden Ponds Way, Hingham, MA 02043 | 2009-04-20 |
| 1659540664 | Maria Clarinda A Buencamino-francisco | Internal Medicine | 6 Shipyard Dr, Hingham, MA 02043 | 2008-02-23 |
| 1437340999 | Town of Hingham | Clinic/Center | 210 Central Street, Hingham, MA 02043 | 2007-08-08 |
| 1720285018 | South Shore Orthopedics LLC | Specialist | 2 Pond Park, Suite 102, Hingham, MA 02043 | 2007-06-29 |
| Find all providers in zip 02043 | ||||
| Taxonomy Code | 103TH0100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health Service |
| A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
| Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992312755 | Daniel Engmann | Psychologist | 316 Main St Ste 202, Worcester, MA 01608-1553 | 2020-09-25 |
| 1750903738 | Corrina D Salo | Psychologist | 5 Alcott St, Acton, MA 01720-5501 | 2020-05-12 |
| 1285286047 | Cinthia Diaz-ramirez | Psychologist | 4 Beverly Commons Dr Apt 36, Beverly, MA 01915-5559 | 2019-07-11 |
| 1144713090 | Laura Rogers | Psychologist | 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 | 2018-06-14 |
| 1124510383 | Deborah Christine Nelson | Psychologist | 39 Boxford Rd, Ipswich, MA 01938-1025 | 2018-06-04 |
| 1104358696 | Chloe Greenbaum | Psychologist | 872 Massachusetts Avenue, Suite 2-1, Cambridge, MA 02139-2316 | 2017-04-03 |
| 1801281233 | Maria Abreu | Psychologist | 4 Royal St, Lawrence, MA 01841-4120 | 2015-04-02 |
| 1003226713 | Kristy Shockley | Psychologist | 96 W Meadow Rd, Lowell, MA 01854-1421 | 2014-05-02 |
| 1174811426 | Rachel Fox-weinberg | Psychologist | 12 Butternut Rd., Westford, MA 01886-1351 | 2011-07-20 |
| 1770763237 | Lissa Young | Psychologist | 1017 Turnpike St Ste 12c, Canton, MA 02021-2847 | 2007-11-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.