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DR. MARY KNORRING PANTUHOVA PSY.D.
NPI 1497701197
Psychologist - Clinical in Waban, MA

Active since May 25, 2006
91 WYMAN ST, WABAN, MA 02468(617) 332-7596(617) 663-6135 Get Directions Write a Review

NPPES record last updated: December 8, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mary Knorring Pantuhova Psy.d. NPPES

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

DR. MARY KNORRING PANTUHOVA PSY.D. (NPI 1497701197) is an individual clinical provider in Waban, Massachusetts, licensed in Massachusetts (6733) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1497701197
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MARY KNORRING PANTUHOVACredential: PSY.D.
Location Address91 WYMAN STWaban, MA 02468-1529
Mailing Address91 Wyman StWaban, MA 02468-1529 · (617) 332-7596 · Fax (617) 663-6135
Phone(617) 332-7596
Fax(617) 663-6135
Sole ProprietorNo
Enumeration DateMay 25, 2006
Last NPPES UpdateDecember 8, 2009
✔ NPI 1497701197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License 6733 (MA)
91 WYMAN ST, Waban, MA 02468
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Other Names 1

Other Name (5)Dr. Mimi Pantuhova

Other Identifiers 2

OtherW40013MA · Medicare
Other1497701197MA · Npi

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.

MARY PANTUHOVA, PSY.D., LLC
Psychologist (Clinical)
91 WYMAN ST
WABAN, MA 02468
Middlesex County (617) 332-7596
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. 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's NPI number?

The NPI number for Mary Pantuhova is 1497701197. It was assigned to this individual provider in the NPPES registry on May 25, 2006. The provider is also known as Dr. Mimi Pantuhova.

Where is Mary Pantuhova located?

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

What is Mary Pantuhova'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 was last updated on December 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.