WALLACE WILLIAM VARONKO (PHD) – Counseling Psychologist, NPI 1003916313
Counseling Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,694 CLINICAL PSYCHOLOGIST in MA
Provider Addresses for WALLACE WILLIAM VARONKO (PHD)
78, Bolas Road, Tarkiln, Duxbury, Plymouth County, Massachusetts, 02331, United States
DUXBURY, MA 02332
Phone: (781) 582-3838
Type: Mailing
30 TAUNTON GREENE SUITE 5
TAUNTON, MA 02780
Phone: (508) 880-6666
Fax: (508) 880-6655
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: 2011-10-31
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111031000283 | I | Clinical Psychologist | MA | TBD |
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.
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 02332)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | MA | |
| Mental Health Counselor | RI | |
| - | MA | |
| Nurse Practitioner | MA | |
| Clinical Social Worker | MA | |
| Clinical Social Worker | MA | |
| - | MA | |
| Clinical Social Worker | MA | |
| Mental Health Counselor | MA | |
| Mental Health Counselor | MA |
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