DR. JUDITH ANNE BEVIS (PH.D.) – Clinical Psychologist, NPI 1194792226

DR. JUDITH ANNE BEVIS (PH.D.) is a healthcare provider. based in Marblehead, Massachusetts. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 4250 (MA). The NPI Number for DR. JUDITH ANNE BEVIS (PH.D.) is 1194792226

Main info

Female
Sole Proprietor
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. JUDITH ANNE BEVIS (PH.D.)
NPI
1194792226
Phone
(781) 599-6582
Address
40 SOUTH ST
Enumeration Date
7 March 2006
Last Update Date
1 April 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7815996582
Graduation Year
1986 (40 years ago)
PAC ID
1254345051
Professional Enrollment ID
I20060201000157
Address ID
MA019071518SW49XXXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,694 CLINICAL PSYCHOLOGIST in MA

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Provider Addresses for DR. JUDITH ANNE BEVIS (PH.D.)

  • 30;40, South Street, Marblehead, Essex County, Massachusetts, 01945, United States

    SUITE 201

    MARBLEHEAD, MA 019453282

    Phone: (781) 599-6582

    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: 2006-02-01

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
I20060201000157IClinical 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

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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 01945)

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Reviews

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Frequently asked questions

Is there an official ID for DR. JUDITH ANNE BEVIS (PH.D.) in U.S. healthcare records?
The official identifier for DR. JUDITH ANNE BEVIS (PH.D.) is NPI 1194792226.
Would DR. JUDITH ANNE BEVIS (PH.D.) appear as active to a payer?
You can treat DR. JUDITH ANNE BEVIS (PH.D.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DR. JUDITH ANNE BEVIS (PH.D.)?
DR. JUDITH ANNE BEVIS (PH.D.)'s specialty line reads Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Where in Massachusetts is DR. JUDITH ANNE BEVIS (PH.D.) registered?
Use Marblehead, Massachusetts as the headline location for DR. JUDITH ANNE BEVIS (PH.D.) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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