DR. EDWARD M. MENDELOWITZ


Address: 158 W Brookline St, Apt. A, Boston, MA 02118-1280
Phone: 6178594556

DR. EDWARD M. MENDELOWITZ (NPI# 1467464263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467464263
Entity Type Individual
Full Name DR. EDWARD M. MENDELOWITZ
Credential PH.D.
Practice Address 158 W Brookline St
Apt. A
Boston
MA 02118-1280
Practice Telephone 6178594556
Mailing Telephone 6178594556
Enumeration Date 2006-08-12
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
4769 MA Behavioral Health & Social Service Providers

Office Location

Street Address 158 W BROOKLINE ST
APT. A
City BOSTON
State MA
Zip Code 02118-1280

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City BOSTON
Zip Code 02118

Improve Information

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Dataset Information

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.

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