Provider Demographics
NPI:1447643762
Name:MAKING WAY COUNSELTATION P.C.
Entity type:Organization
Organization Name:MAKING WAY COUNSELTATION P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:SAWYER
Authorized Official - Last Name:KINCHLA
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:978-604-5561
Mailing Address - Street 1:841 WORCESTER ST
Mailing Address - Street 2:#185
Mailing Address - City:NATICK
Mailing Address - State:MA
Mailing Address - Zip Code:01760-2076
Mailing Address - Country:US
Mailing Address - Phone:978-604-5561
Mailing Address - Fax:
Practice Address - Street 1:154 E CENTRAL ST
Practice Address - Street 2:SUITE 201
Practice Address - City:NATICK
Practice Address - State:MA
Practice Address - Zip Code:01760-3644
Practice Address - Country:US
Practice Address - Phone:978-604-5561
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-11
Last Update Date:2019-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10081103T00000X, 103TA0400X, 103TB0200X, 103TC0700X, 103TE1100X, 103TH0004X, 103TH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
No103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)Group - Single Specialty
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Single Specialty
No103TE1100XBehavioral Health & Social Service ProvidersPsychologistExercise & SportsGroup - Single Specialty
No103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealthGroup - Single Specialty
No103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth ServiceGroup - Single Specialty