Individual
CAROL A MCKENNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
140 WOOD RD, STE 101, BRAINTREE, MA 02184-2512
(617) 407-4705
(617) 607-7567
Mailing address
140 WOOD RD STE 305, BRAINTREE, MA 02184-2514
(617) 407-4705
(617) 607-7567
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7479
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110093018A
—
MA
01
—
138881
VALUE OPTIONS
MA
01
—
21482
BEACON HEALTH
MA
01
—
828377534
OPTUM
MA
01
—
8329-01
HARVARD PILGRIM HEALTH
MA
01
—
V22582
NETWORK HEALTH
MA
01
—
W05840
BLUE CROSS BLUE SHEILD OF MASS
MA
Enumeration date
01/21/2008
Last updated
04/12/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us