MINDY S KOPOLOW PSYD PA
NPI 1073633327
Psychologist - Clinical in Woburn, MA

NPI Status: Active since March 30, 2007

Contact Information

400 W CUMMINGS PARK
SUITE 3400
WOBURN, MA
ZIP 01801
Phone: (617) 972-5055
Fax: (617) 972-5011

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  • Organization
  • Psychologist
  • Clinical
  • Accepts Insurance

About MINDY S KOPOLOW PSYD PA

This page provides the complete NPI Profile along with additional information for Mindy S Kopolow Psyd Pa, a provider established in Woburn, Massachusetts operating as a Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1073633327 assigned on March 2007. The practitioner's primary taxonomy code is 103TC0700X with license number 8603 (MA). The provider is registered as an organization and their NPI record was last updated 13 years ago. Mindy S Kopolow Psyd Pa operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Mindy Sue Kopolow Ma, Psyd (President)

NPI
1073633327
Provider Name
MINDY S KOPOLOW PSYD PA
Entity Type
Organization
Location Address
400 W CUMMINGS PARK SUITE 3400 WOBURN, MA 01801
Location Phone
(617) 972-5055
Location Fax
(617) 972-5011
Mailing Address
400 W CUMMINGS PARK SUITE 3400 WOBURN, MA 01801
Mailing Phone
(617) 972-5055
Mailing Fax
(617) 972-5011
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-30-2007
Last Update Date
04-04-2013
Code Navigator

A clinical psychologist like Mindy S Kopolow Psyd Pa assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
License No.
8603
License State
MA
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

851 (MA)
2103TC0700XBehavioral Health & Social Service Providers

Psychologist
Clinical

PY5819 (FL)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Access Blue New England HMO 6000/20%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 7500/30%/10000 Value - HMO
  • Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
  • Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 3000/0%/7500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 500/30%/9000 - HMO
  • Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
  • Anthem Silver Access Blue New England HMO 2500/30%/10000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/10000 - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/9000 - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/9000 RxD - HMO
  • Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/20%/8500 - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MINDY SUE KOPOLOW MA, PSYD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(617) 972-5055

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
54439OTHER (01)FLBLUE CROSS BLUE SHIELD
54439MEDICARE PIN (08)FL 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1073633327, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
3
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
3
Unchanged
Pos 7
3
Doubled → 6
Pos 8
3
Unchanged
Pos 9
2
Doubled → 4
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 6 → 12 → 3 3 → 6 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 4 + 3 + 1 + 2 + 3 + 6 + 3 + 4 + 24 = 53

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1073633327.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Anesthesiology (Pain Medicine)
400 W CUMMINGS PARK, SUITE 1825
WOBURN, MA 01801
Anesthesiology (Addiction Medicine)
400 W CUMMINGS PARK, STE 1825
WOBURN, MA 01801
Obstetrics & Gynecology
400 W CUMMINGS PARK, SUITE 5300
WOBURN, MA 01801
Prosthetic/Orthotic Supplier
400 W CUMMINGS PARK, SUITE 4950
WOBURN, MA 01801
Specialist
400 W CUMMINGS PARK, SUITE 5300
WOBURN, MA 01801
Pharmacist
400 W CUMMINGS PARK, SUITE 1050
WOBURN, MA 01801
Chiropractor
400 W CUMMINGS PARK, SUITE 3425
WOBURN, MA 01801
Occupational Therapist
400 W CUMMINGS PARK
WOBURN, MA 01801
Physical Therapist
400 W CUMMINGS PARK, SUITE 3950
WOBURN, MA 01801
Physical Therapist
400 W CUMMINGS PARK, SUITE 3950
WOBURN, MA 01801
Physical Therapist
400 W CUMMINGS PARK, SUITE 3950
WOBURN, MA 01801
Occupational Therapy Assistant
400 W CUMMINGS PARK
WOBURN, MA 01801
Physical Therapy Assistant
400 W CUMMINGS PARK
WOBURN, MA 01801
Speech-Language Pathologist
400 W CUMMINGS PARK, SUITE 3950
WOBURN, MA 01801
Physical Therapist (Geriatrics)
400 W CUMMINGS PARK, #3950
WOBURN, MA 01801
Occupational Therapist
400 W CUMMINGS PARK, SUITE 3950
WOBURN, MA 01801
Occupational Therapist
400 W CUMMINGS PARK, SUITE 3950
WOBURN, MA 01801
Physical Therapy Assistant
400 W CUMMINGS PARK, SUITE 3950
WOBURN, MA 01801
Occupational Therapy Assistant
400 W CUMMINGS PARK, #3950
WOBURN, MA 01801
Physical Therapy Assistant
400 W CUMMINGS PARK, #3950
WOBURN, MA 01801

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073633327, enumerated as an "organization" on March 30, 2007.

The provider is located at 400 W CUMMINGS PARK SUITE 3400 WOBURN, MA 01801 and the phone number is (617) 972-5055.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.