Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mindy S Kopolow PSYD PA

Organization Mental Health Counselor · NPI 1073633327

Mindy S Kopolow PSYD PA provides Mental Health Counselor services in Woburn, Massachusetts. Licensed in Florida and Massachusetts. Registered with an NPI since 2007.

Licensed in
FL, MA
In the registry since
2007
Specialties on file
3
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

400 W Cummings Park Ste 3400
Woburn, MA 01801-6519 Not confirmed with CMS for 13 years — call before visiting
Phone: (617) 972-5055
Fax: (617) 972-5011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 8603 (MA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 851 (MA)
Clinical Psychologist Taxonomy 103TC0700X · Licence PY5819 (FL)

Record details

NPI number1073633327
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mindy Kopolow — President · (617) 972-5055
NPI enumeratedMarch 30, 2007
Last updated in NPPESApril 4, 2013
Mailing address400 W Cummings Park, Suite 3400, Woburn, MA 01801-6519

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