DR. CHARLES WOODROW JR. STYRON (PSY. D.) – Clinical Psychologist, NPI 1366413841
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,694 CLINICAL PSYCHOLOGIST in MA
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Provider Addresses for DR. CHARLES WOODROW JR. STYRON (PSY. D.)
33;35, Waverley Street, Waverley Square, Waverley, Belmont, Middlesex County, Massachusetts, 02478, United States
BELMONT, MA 024781958
Phone: (617) 489-5848
Fax: (617) 489-5848
Type: Mailing
173, Mount Auburn Street, Watertown, Middlesex County, Massachusetts, 02472, United States
WATERTOWN, MA 024724005
Phone: (617) 489-5848
Fax: (617) 489-5848
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.
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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: 2010-10-15
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 |
|---|---|---|---|---|
| I20101015000001 | 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 02478)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHOLOGIST, CLINICAL | MA | 96118 | Neuropsychological testing, interpretation, and report by psychologist or physician per hour | 128 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MA | |
| Certified Clinical Nurse Specialist (Cns) | MA | |
| Psychiatry, Geriatric Psychiatry | MA | |
| P S Y C H I A T R Y | MA | |
| - | MA | |
| Clinical Social Worker | MA | |
| Certified Clinical Nurse Specialist (Cns) | MA | |
| Clinical Social Worker | MA | |
| Clinical Social Worker | MA |
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