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MARY PANTUHOVA, PSY.D., LLC
NPI 1023284460
Psychologist - Clinical in Waban, MA

Active since May 06, 2008

NPPES record last updated: May 6, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Pantuhova, Psy.d., Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY PANTUHOVA, PSY.D., LLC (NPI 1023284460), doing business as Mary Pantuhova, Psy.d., is a healthcare organization registered as a clinical in Waban, Massachusetts and active in the NPI registry since May 2008. The organization lists Mary Knorring Pantuhova, Director, as its authorized official.

NPPES Registry Identity

NPI1023284460
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameMARY PANTUHOVA, PSY.D., LLC
Location Address91 WYMAN STWaban, MA 02468-1529
Mailing Address91 Wyman StWaban, MA 02468-1529 · (617) 332-7596
Phone(617) 332-7596
Organization SubpartNo
Authorized OfficialMary Knorring PantuhovaDirector · (617) 332-7596
Enumeration DateMay 6, 2008
✔ NPI 1023284460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MA · 6733
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
91 WYMAN ST, Waban, MA 02468
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Other Names 1

Former Legal Business NameMary Pantuhova, Psy.d.

Other Identifiers 1

Medicare UPINW40013MA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CATHERINE IONE DUBOIS PSY.D.
Psychologist (Clinical)
91 WYMAN ST
WABAN, MA 02468
Middlesex County (617) 499-9609
DR. JENNIFER A FORD PSY.D.
Psychologist (Clinical)
91 WYMAN ST, SUITE ONE
WABAN, MA 02468
Middlesex County (617) 969-7891
DR. SHARI LYNN NOE PSYD
Psychologist (Clinical)
91 WYMAN ST, SUITE ONE
WABAN, MA 02468
Middlesex County (617) 969-7891
CENTER FOR LIFESPAN DEVELOPMENT
Psychologist (Clinical)
91 WYMAN ST, SUITE ONE
WABAN, MA 02468
Middlesex County (617) 969-7891
SETH A RAFAL M.D.
Psychiatry & Neurology (Psychiatry)
91 WYMAN ST
WABAN, MA 02468
Middlesex County (617) 332-7596
DR. SAMUEL J. MONCATA PSY.D.
Psychologist (Clinical)
91 WYMAN ST, SUITE ONE
WABAN, MA 02468
Middlesex County (617) 969-7891
DR. MARY KNORRING PANTUHOVA PSY.D.
Psychologist (Clinical)
91 WYMAN ST
WABAN, MA 02468
Middlesex County (617) 332-7596
DR. CAROLINE MILLER PSY.D.
Psychologist (Clinical)
91 WYMAN ST, SUITE 100
WABAN, MA 02468
Middlesex County (314) 809-7073

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Pantuhova, Psy.D., LLC's NPI number?

The NPI number for Mary Pantuhova, Psy.D., LLC is 1023284460. It was assigned to this organization in the NPPES registry on May 6, 2008. The provider was formerly known as Mary Pantuhova, Psy.D..

Where is Mary Pantuhova, Psy.D., LLC located?

Mary Pantuhova, Psy.D., LLC is located at 91 Wyman St, Waban, MA 02468. The listed phone number is (617) 332-7596.

What is Mary Pantuhova, Psy.D., LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Mary Pantuhova, Psy.D., LLC was last updated on May 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.