MR. LYNWOOD IV MCCASSIE – Psychologist, NPI 1134597867

MR. LYNWOOD IV MCCASSIE is a healthcare provider. based in Boston, Massachusetts. specializing in CLINICAL PSYCHOLOGIST. The NPI Number for MR. LYNWOOD IV MCCASSIE is 1134597867

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
MR. LYNWOOD IV MCCASSIE
NPI
1134597867
Phone
Not provided
Address
1601 WASHINGTON ST
Enumeration Date
11 September 2015
Last Update Date
3 September 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
61727781072240
Graduation Year
2019 (7 years ago)
PAC ID
2062889363
Group Practice PAC ID
9032181433
Professional Enrollment ID
I20221028002198
Address ID
MA024454445BR43XXXRDXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:10State licenses:0Digital endpointsOther names

1,694 CLINICAL PSYCHOLOGIST in MA

Provider Addresses for MR. LYNWOOD IV MCCASSIE

  • 1601 WASHINGTON ST

    BOSTON, MA 021181951

    Phone:

    Mailing address matches the actual address.

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: 2022-10-28

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
I20221028002198IClinical 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 02118)

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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: 9032181433View full group profile
NameSpecialtyState
Certified Clinical Nurse Specialist (Cns)RI
Clinical Social WorkerMA
-MA
Clinical Social WorkerMA
Clinical Social WorkerID
Clinical Social WorkerMA
Mental Health CounselorMA
Mental Health CounselorMA
Clinical Social WorkerMA
-MA

Reviews

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Frequently asked questions

What is the 10-digit NPI for MR. LYNWOOD IV MCCASSIE?
MR. LYNWOOD IV MCCASSIE — NPI 1134597867 — is the standard way to identify this listing.
Is MR. LYNWOOD IV MCCASSIE still practicing?
MR. LYNWOOD IV MCCASSIE is currently listed as active in the public NPI registry.
What is MR. LYNWOOD IV MCCASSIE best known for clinically?
Directory data describes MR. LYNWOOD IV MCCASSIE with Psychologist. Clinical services aligned with this taxonomy classification.
What area does MR. LYNWOOD IV MCCASSIE serve?
MR. LYNWOOD IV MCCASSIE's listing highlights Boston, Massachusetts; more addresses can appear in NPPES.
Is the information about MR. LYNWOOD IV MCCASSIE up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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