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

Q: What is Mindy S Kopolow Psyd PA's NPI number?

The NPI number for Mindy S Kopolow Psyd PA is 1073633327. It was assigned to this organization in the NPPES registry on March 30, 2007.

Q: What is Mindy S Kopolow Psyd PA's specialty?

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

Active since March 30, 2007

400 W CUMMINGS PARK, SUITE 3400, WOBURN, MA 01801(617) 972-5055(617) 972-5011 Get Directions Write a Review

NPPES record last updated: April 4, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mindy S Kopolow Psyd Pa NPPES

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

MINDY S KOPOLOW PSYD PA (NPI 1073633327) is a healthcare organization registered as a clinical in Woburn, Massachusetts and active in the NPI registry since March 2007. The organization lists Mindy Sue Kopolow, President, as its authorized official.

NPPES Registry Identity

NPI1073633327

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameMINDY S KOPOLOW PSYD PA

Location Address400 W CUMMINGS PARK, SUITE 3400Woburn, MA 01801-6519

Mailing Address400 W Cummings Park, Suite 3400Woburn, MA 01801-6519 · (617) 972-5055 · Fax (617) 972-5011

Phone(617) 972-5055

Fax(617) 972-5011

Organization SubpartNo

Authorized OfficialMindy Sue KopolowPresident · (617) 972-5055

Enumeration DateMarch 30, 2007

Last NPPES UpdateApril 4, 2013

✔ NPI 1073633327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in MA · 8603✔ Licensed in FL · PY5819

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 851 (MA)

400 W CUMMINGS PARK, Woburn, MA 01801

Open in Google Maps ↗

Other Identifiers 2

Other54439FL · Blue Cross Blue Shield

Medicare PIN54439FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Other Providers at the Same Location NPPES 20

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

PATRICIA DEMARTINO PTA

Physical Therapy Assistant

400 W CUMMINGS PARK, SUITE 3950
WOBURN, MA 01801

Middlesex County (781) 933-8800

THERESA BERGAMI PTA

Physical Therapy Assistant

400 W CUMMINGS PARK
WOBURN, MA 01801

Middlesex County (781) 933-8800

SHANNON CHEEVER-LECLAIR COTA

Occupational Therapy Assistant

400 W CUMMINGS PARK
WOBURN, MA 01801

Middlesex County (781) 933-8800

LAURA BLOCK PTA

Physical Therapy Assistant

400 W CUMMINGS PARK, SUITE 3950
WOBURN, MA 01801

Middlesex County (781) 933-8800

KIMBERLY SARNACKI PT

Physical Therapist

400 W CUMMINGS PARK
WOBURN, MA 01801

Middlesex County (781) 933-8800

MRS. GRACE PETRONELLA OTR

Occupational Therapist

400 W CUMMINGS PARK, SUITE 3950
WOBURN, MA 01801

Middlesex County (800) 451-9101

KRISTEN VANDER PLAAT OT

Occupational Therapist

400 W CUMMINGS PARK
WOBURN, MA 01801

Middlesex County (781) 933-8800

DR. MINDY SUE KOPOLOW M.A., PSY.D.

Psychologist (Clinical)

400 W CUMMINGS PARK, SUITE 3400
WOBURN, MA 01801

Middlesex County (617) 972-5055

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 Mindy S Kopolow Psyd PA's NPI number?

The NPI number for Mindy S Kopolow Psyd PA is 1073633327. It was assigned to this organization in the NPPES registry on March 30, 2007.

Where is Mindy S Kopolow Psyd PA located?

Mindy S Kopolow Psyd PA is located at 400 W Cummings Park Suite 3400, Woburn, MA 01801. The listed phone number is (617) 972-5055.

What is Mindy S Kopolow Psyd PA's specialty?

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

What insurance does Mindy S Kopolow Psyd PA accept?

Health plans from Anthem Blue Cross and Blue Shield list Mindy S Kopolow Psyd PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mindy S Kopolow Psyd PA was last updated on April 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.