DR. MAUREEN KELLY MCCORMICK (PSY.D) – Psychologist, NPI 1235290560

DR. MAUREEN KELLY MCCORMICK (PSY.D) is a healthcare provider. based in Wellesley, Massachusetts. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D. They hold a License No. 6334 (MA). The NPI Number for DR. MAUREEN KELLY MCCORMICK (PSY.D) is 1235290560

Main info

Female
Sole Proprietor
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. MAUREEN KELLY MCCORMICK (PSY.D)
NPI
1235290560
Phone
(781) 235-4950
Address
11 Chapel Pl
Enumeration Date
12 December 2006
Last Update Date
31 May 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5087367796
Graduation Year
1989 (37 years ago)
PAC ID
9234199696
Professional Enrollment ID
I20041012000337
Address ID
MA024826417WE592XXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,694 CLINICAL PSYCHOLOGIST in MA

Provider Addresses for DR. MAUREEN KELLY MCCORMICK (PSY.D)

  • 11 Chapel Pl

    Wellesley, MA 024813130

    Phone: (781) 235-4950

    Fax: (781) 235-7176

    Type: Location

  • 592, Washington Street, College Heights, Wellesley, Norfolk County, Massachusetts, 02482, United States

    WELLESLEY, MA 024826417

    Phone: (508) 736-7796

    Type: Location

  • 26, East Plain Street, Cochituate, Wayland, Middlesex County, Massachusetts, 01778, United States

    WAYLAND, MA 01778

    Phone: (508) 358-6366

    Type: Mailing

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: 2004-10-12

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
I20041012000337IClinical 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 02481)

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Reviews

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Frequently asked questions

What federal number belongs to DR. MAUREEN KELLY MCCORMICK (PSY.D)?
The federal identifier for DR. MAUREEN KELLY MCCORMICK (PSY.D) is NPI 1235290560.
Is DR. MAUREEN KELLY MCCORMICK (PSY.D) active in the national directory?
DR. MAUREEN KELLY MCCORMICK (PSY.D)'s public NPI profile is in an active state.
Does DR. MAUREEN KELLY MCCORMICK (PSY.D) list a primary specialty?
If you are matching referrals, note Psychologist for DR. MAUREEN KELLY MCCORMICK (PSY.D). Clinical services aligned with this taxonomy classification.
Where does public data place DR. MAUREEN KELLY MCCORMICK (PSY.D)?
The snapshot lists Wellesley, Massachusetts for DR. MAUREEN KELLY MCCORMICK (PSY.D); download NPPES for the complete set.
What if Wellesley, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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