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

Mindy S Kopolow PSYD PA

Organization Mental Health Counselor · NPI 1073633327

Mindy S Kopolow PSYD PA is a Mental Health Counselor 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
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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