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DR. MIRIAM KISSIN PSY.D.
NPI 1104315662
Psychologist - Clinical in Worcester, MA

Active since May 09, 2018
121 LINCOLN ST, WORCESTER, MA 01605(508) 797-1000 Get Directions Write a Review

NPPES record last updated: March 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 11, 2019, May 9, 2018 (2 updates tracked since 2018).

About Dr. Miriam Kissin Psy.d. NPPES

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

DR. MIRIAM KISSIN PSY.D. (NPI 1104315662) is an individual clinical provider in Worcester, Massachusetts, licensed in Massachusetts (8903) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1104315662
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MIRIAM KISSINCredential: PSY.D.
Location Address121 LINCOLN STWorcester, MA 01605-2429
Mailing Address121 Lincoln StWorcester, MA 01605-2429
Phone(508) 797-1000
Sole ProprietorNo
Enumeration DateMay 9, 2018
Last NPPES UpdateMarch 11, 20192 updates tracked since enumeration
✔ NPI 1104315662 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 · 8903
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.
121 LINCOLN ST, Worcester, MA 01605
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Other Providers at the Same Location NPPES 18

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

SEASONS PSYCHOLOGICAL SERVICES LLC
Community/Behavioral Health
121 LINCOLN ST
WORCESTER, MA 01605
Worcester County (774) 312-6667
BLENDED HEARTS HOME CARE, LLC
Custodial Care Facility (Adult Care Home)
121 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 963-5259
VITAL CLINIC
Clinic/Center (Medical Specialty)
121 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 826-5388
DIAGNOSIS NETWORK INC
Radiology (Diagnostic Ultrasound)
121 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 335-7163
DR. PATRICK P HOGAN M.D.
Obstetrics & Gynecology
121 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 754-9100
TATIANA HAMAWI, DBA ALPHA-OMEGA MEDICAL CARE
Pediatrics
121 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 753-7700
MRS. JAEL ALHESSABI R.E
Specialist
121 LINCOLN ST, GROWN LEVEL
WORCESTER, MA 01605
Worcester County (508) 964-2449
CLOVIS PADILHA JR. LIC.AC
Acupuncturist
121 LINCOLN ST
WORCESTER, MA 01605
Worcester County (774) 232-6928

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 Miriam Kissin's NPI number?

The NPI number for Miriam Kissin is 1104315662. It was assigned to this individual provider in the NPPES registry on May 9, 2018.

Where is Miriam Kissin located?

Miriam Kissin practices at 121 Lincoln St, Worcester, MA 01605. The listed phone number is (508) 797-1000.

What is Miriam Kissin'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 Miriam Kissin was last updated on March 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.