Provider Demographics
NPI:1659352672
Name:DOLINSKY, JOSEPH GARY (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:GARY
Last Name:DOLINSKY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:161 S MAIN ST
Mailing Address - Street 2:SUITE 309
Mailing Address - City:MIDDLETON
Mailing Address - State:MA
Mailing Address - Zip Code:01949-2485
Mailing Address - Country:US
Mailing Address - Phone:978-750-1990
Mailing Address - Fax:978-739-4042
Practice Address - Street 1:161 S MAIN ST
Practice Address - Street 2:SUITE 309
Practice Address - City:MIDDLETON
Practice Address - State:MA
Practice Address - Zip Code:01949-2485
Practice Address - Country:US
Practice Address - Phone:978-750-1990
Practice Address - Fax:978-739-4042
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-08
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4071PR103TB0200X, 103TC0700X, 103TC2200X, 103TH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1019320OtherBEACON HEALTH STRATEGIES
MA41909OtherUNITED BEHAVIORALHEALTH
MAWO4354OtherBLUE CROSS OF MASS
MA0521612Medicaid
MA184163OtherPHCS
MAA007792OtherVALUEOPTIONS
MA700-11701OtherBLUE CROSS ALABAMA
MAV3674OtherEMPIRE BLUE CROSS
MA1019320OtherFALLON COMMUNITY
MA329245OtherHARVARD PILGRIM HEALTH
MA5649584OtherAETNA/US HEALTHCARE
MA803200V9972100OtherVERIZON BLUE CROSS
MA170823OtherMAGELLAN/HMO BLUE
MAA007792OtherVALUEOPTIONS
MA1019320OtherBEACON HEALTH STRATEGIES