Provider Demographics
NPI:1609843531
Name:SCHWARTZ, KAREN G (PHD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:G
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 WATSON RD
Mailing Address - Street 2:#204
Mailing Address - City:BELMONT
Mailing Address - State:MA
Mailing Address - Zip Code:02478-3924
Mailing Address - Country:US
Mailing Address - Phone:617-489-2573
Mailing Address - Fax:
Practice Address - Street 1:5 WATSON RD
Practice Address - Street 2:#204
Practice Address - City:BELMONT
Practice Address - State:MA
Practice Address - Zip Code:02478-3924
Practice Address - Country:US
Practice Address - Phone:617-489-2573
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPY 3501 PR103TC0700X, 103TH0100X, 103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service
Not Answered103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAW03571OtherBLUE CROSS BLUE SHIELD
MAW50758Medicare ID - Type UnspecifiedPART B PROVIDER NUMBER