PAMELA WIEGARTZ (PHD) – Clinical Psychologist, NPI 1285646695

PAMELA WIEGARTZ (PHD) is a healthcare provider. based in Boston, Massachusetts. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 071006114 (IL). The NPI Number for PAMELA WIEGARTZ (PHD) is 1285646695

Main info

Female
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
PAMELA WIEGARTZ (PHD)
NPI
1285646695
Phone
(617) 732-6766
Address
221 LONGWOOD AVE FL 4
Enumeration Date
13 August 2006
Last Update Date
11 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6177325500
Graduation Year
1999 (27 years ago)
PAC ID
1153457247
Group Practice PAC ID
3870405988
Professional Enrollment ID
I20100423000397
Address ID
MA021156110BO75XXXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,694 CLINICAL PSYCHOLOGIST in MA

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Provider Addresses for PAMELA WIEGARTZ (PHD)

  • Longwood Avenue, Mission Hill, Boston, Suffolk County, Massachusetts, 02120, United States

    PSYCHIATRY

    BOSTON, MA 021155804

    Phone: (617) 732-6766

    Type: Location

  • 221 Longwood Ave Fl 4

    Psychiatry

    Boston, MA 021155804

    Phone: (617) 732-6766

    Type: Location

  • 279 E CENTRAL ST STE 247

    FRANKLIN, MA 020381317

    Phone: (617) 429-8584

    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: 2010-04-23

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
I20100423000397IClinical 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90853Group psychotherapy12123$0
View full utilization report →

Insurance plans in this area (ZIP 02115)

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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: 3870405988View full group profile
NameSpecialtyState
N E U R O S U R G E R YMD
-MA
Critical Care (Intensivists), Pulmonary DiseaseFL
Physician AssistantMA
N E U R O L O G YMA
Nurse PractitionerMA
Orthopedic SurgeryMA
Physician AssistantNH
Nurse PractitionerMA
P A T H O L O G YMA

Reviews

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Frequently asked questions

What is PAMELA WIEGARTZ (PHD)'s NPI number?
PAMELA WIEGARTZ (PHD)'s NPI is 1285646695 — the number used across U.S. healthcare to identify this provider.
Is PAMELA WIEGARTZ (PHD) shown as active in public data?
Registry records indicate PAMELA WIEGARTZ (PHD) maintains an active NPI.
What expertise is attributed to PAMELA WIEGARTZ (PHD)?
PAMELA WIEGARTZ (PHD)'s specialty line reads Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for PAMELA WIEGARTZ (PHD)?
Travel planning: use Boston, Massachusetts as the reference point for PAMELA WIEGARTZ (PHD), then confirm.
When was this NPI issued?
Enumeration for PAMELA WIEGARTZ (PHD) is noted as August 13, 2006 where the registry provides it.

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