DR. NICKKI P DAWES – Clinical Psychologist, NPI 1003583568

DR. NICKKI P DAWES is a healthcare provider. based in Newton, Massachusetts. specializing in CLINICAL PSYCHOLOGIST. They hold a License No. PSY10000872 (MA). The NPI Number for DR. NICKKI P DAWES is 1003583568

Main info

Female
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. NICKKI P DAWES
NPI
1003583568
Phone
(217) 766-6792
Address
12 PAGE RD
Enumeration Date
24 August 2021
Last Update Date
15 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6174145245
Graduation Year
2001 (25 years ago)
PAC ID
9537680897
Group Practice PAC ID
7911805361
Professional Enrollment ID
I20250304001409
Address ID
MA021182908BO1XXXXPLXX500
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

1,694 CLINICAL PSYCHOLOGIST in MA

Provider Addresses for DR. NICKKI P DAWES

  • 12 PAGE RD

    NEWTON, MA 024601513

    Phone: (217) 766-6792

    Type: Mailing

  • 765 COMMONWEALTH AVE

    BOSTON, MA 022151401

    Phone: (217) 766-6792

    Type: Location

  • 960 MASSACHUSETTS AVE

    FL 2

    BOSTON, MA 02118

    Phone:

    Type: Mailing

  • 1 BOSTON MEDICAL CTR PL

    BOSTON, MA 021182908

    Phone: (617) 414-5245

    Type: Location

  • 765 Commonwealth Ave

    Boston, MA 022151401

    Phone: (217) 766-6792

    Type: Location

  • 12 Page Rd

    Newton, MA 024601513

    Phone: (217) 766-6792

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-03-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250304001409IClinical PsychologistMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02460)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911805361View full group profile

Reviews

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Frequently asked questions

Can I verify DR. NICKKI P DAWES with an NPI only?
You can start verification with NPI 1003583568 for DR. NICKKI P DAWES, then check state licensing separately.
Does the file indicate DR. NICKKI P DAWES is practicing under active NPI?
Directory data currently reports DR. NICKKI P DAWES as active.
What taxonomy line describes DR. NICKKI P DAWES?
For research purposes, treat DR. NICKKI P DAWES as Clinical Psychologist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect DR. NICKKI P DAWES on a map?
Expect Newton, Massachusetts as a primary anchor for DR. NICKKI P DAWES unless the record lists multiple sites.
Is the information about DR. NICKKI P DAWES up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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