ROBYN KERVICK (PHD) – Clinical Neurophysiology Physician, NPI 1417158288

ROBYN KERVICK (PHD) is a healthcare provider. based in Boston, Massachusetts. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 048-0134257 (VT). The NPI Number for ROBYN KERVICK (PHD) is 1417158288

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
ROBYN KERVICK (PHD)
NPI
1417158288
Phone
(617) 259-1895
Address
160 Commonwealth Avenue
Enumeration Date
30 May 2007
Last Update Date
19 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8028470000
Graduation Year
2003 (23 years ago)
PAC ID
9436171295
Group Practice PAC ID
3779491071
Professional Enrollment ID
I20241011003361
Address ID
VT054011473BU111XXAVEX300
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

Provider Addresses for ROBYN KERVICK (PHD)

  • 160 Commonwealth Avenue

    Suite U3

    Boston, MA 02116

    Phone: (617) 259-1895

    Fax: (617) 259-1899

    Type: Location

  • Commonwealth Psychology Associates, 160, Commonwealth Avenue, Back Bay, Boston, Suffolk County, Massachusetts, 02116, United States

    SUITE U3

    BOSTON, MA 02116

    Phone: (617) 259-1895

    Fax: (617) 259-1899

    Type: Location

  • 111 Colchester Ave

    Burlington, VT 054011473

    Phone: (802) 847-0000

    Type: Location

  • 790 COLLEGE PKWY

    COLCHESTER, VT 054463007

    Phone: (802) 847-3634

    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.

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: 2024-10-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20051221000615IClinical PsychologistMATBD
I20241011003361IClinical PsychologistVTTBD

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
96139Administration of psychological or neuropsychological test by technician, each additional 30 minutes362249$0
96116Exam of neurobehavioral status, first hour255252$0
96132Evaluation of neuropsychological test, first hour255252$0
96138Administration of psychological or neuropsychological test by technician, first 30 minutes254251$0
96133Evaluation of neuropsychological test, each additional hour9896$0
View full utilization report →

Insurance plans in this area (ZIP 02116)

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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: 3779491071View full group profile

Reviews

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Frequently asked questions

What is ROBYN KERVICK (PHD)'s NPI number?
ROBYN KERVICK (PHD)'s NPI is 1417158288 — the number used across U.S. healthcare to identify this provider.
Is ROBYN KERVICK (PHD) still an active registrant?
ROBYN KERVICK (PHD) carries an active NPI according to the public dataset.
What area of care is associated with ROBYN KERVICK (PHD)?
ROBYN KERVICK (PHD)'s record emphasizes Clinical Neurophysiology Physician. Clinical services aligned with this taxonomy classification.
Is ROBYN KERVICK (PHD) located near Boston?
ROBYN KERVICK (PHD) currently maps to Boston, Massachusetts in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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