Kelly Wawrzyniak (NPI# 1780020990, PAC ID# 6103060033) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1780020990 |
| PAC ID by PECOS | 6103060033 |
| Professional Enrollment ID | I20130916000640 |
| Full Name | Kelly Wawrzyniak |
| Organization Legal Name | BOSTON PAINCARE CENTER INC |
| Address |
85 1st Ave Waltham MA 02451-1105 |
| Phone Number | 7818957900 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 3072616630 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 85 1st Ave, Waltham, MA 02451-1105 | 7818957900 | BOSTON PAINCARE CENTER INC |
| Organization Legal Name | BOSTON PAINCARE CENTER INC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carlos F Bazoberry | Anesthesiology | Boston Paincare Center Inc | 85 1st Ave, Waltham, MA 02451-1105 |
| Zahid H Bajwa | Neurology | Boston Paincare Center Inc | 200 Baker Ave, Suite 101, Concord, MA 01742-2170 |
| Donald F Counihan Jr | Chiropractic | Boston Paincare Center Inc | 85 1st Ave, Waltham, MA 02451-1105 |
| Nicholas Reese Barnes | Anesthesiology | Boston Paincare Center Inc | 200 Baker Ave, Suite 101, Concord, MA 01742-2170 |
| David J Dibenedetto | Anesthesiology | Boston Paincare Center Inc | 200 Baker Ave, Suite 101, Concord, MA 01742-2170 |
| James C Obrien | Pulmonary Disease | Boston Paincare Center Inc | 85 1st Ave, Waltham, MA 02451-1105 |
| Kathryn A Giblin | Neurology | Boston Paincare Center Inc | 85 1st Ave, Waltham, MA 02451-1105 |
| Douglas Keene | Anesthesiology | Boston Paincare Center Inc | 200 Baker Ave, Suite 101, Concord, MA 01742-2170 |
| Valerie F Weed | Clinical Psychologist | Boston Paincare Center Inc | 85 1st Ave, Waltham, MA 02451-1105 |
| Street Address |
85 1ST AVE |
| City | WALTHAM |
| State | MA |
| Zip | 02451-1105 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carlos F Bazoberry | Anesthesiology | Boston Paincare Center Inc | 85 1st Ave, Waltham, MA 02451-1105 |
| Donald F Counihan Jr | Chiropractic | Boston Paincare Center Inc | 85 1st Ave, Waltham, MA 02451-1105 |
| Lee Scott Silk | Interventional Pain Management | 85 1st Ave, Waltham, MA 02451-1105 | |
| James C Obrien | Pulmonary Disease | Boston Paincare Center Inc | 85 1st Ave, Waltham, MA 02451-1105 |
| Kathryn A Giblin | Neurology | Boston Paincare Center Inc | 85 1st Ave, Waltham, MA 02451-1105 |
| Valerie F Weed | Clinical Psychologist | Boston Paincare Center Inc | 85 1st Ave, Waltham, MA 02451-1105 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joanne H Twombly | Clinical Social Worker | 740 Main St, Suite 105, Waltham, MA 02451-0607 | |
| John C Duffy | Chiropractic | 136 Bacon St, Waltham, MA 02451-0797 | |
| Betty Herr | Psychiatry | 318 Bear Hill Rd, Suite 7b, Waltham, MA 02451-1005 | |
| Margaret S Vanbael | Clinical Social Worker | Waltham Behavioral Health LLC | 210 Bear Hill Rd, Suite 203, Waltham, MA 02451-1025 |
| Linda A Simon | Clinical Social Worker | Waltham Behavioral Health LLC | 210 Bear Hill Rd, Suite 203, Waltham, MA 02451-1025 |
| Marylouise Demick | Nurse Practitioner | Waltham Behavioral Health LLC | 210 Bear Hill Rd, Suite 203, Waltham, MA 02451-1025 |
| Suzanne Brennan-nathan | Clinical Social Worker | Waltham Behavioral Health LLC | 210 Bear Hill Rd, Suite 203, Waltham, MA 02451-1025 |
| Steven R Kanner | Internal Medicine | Steven R. Kanner, Md, LLC | 210 Bear Hill Rd, Suite 304, Waltham, MA 02451-1025 |
| Eleftheria Tsavoussis | Certified Clinical Nurse Specialist (cns) | Waltham Behavioral Health LLC | 210 Bear Hill Rd, Suite 203, Waltham, MA 02451-1025 |
| Eve N Sobel | Internal Medicine | Steven R. Kanner, Md, LLC | 210 Bear Hill Rd, Suite 304, Waltham, MA 02451-1025 |
| Find all physicians in zip 02451 | |||
| City | WALTHAM |
| Zip Code | 02451 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | WALTHAM + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Kelly Wawrzyniak.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.