MARTHA NIEMIEC (MA) – Clinical Psychologist, NPI 1477059350

MARTHA NIEMIEC (MA) is a healthcare provider. based in Burlington, Massachusetts. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials MA. They hold a License No. 11465 (MA). The NPI Number for MARTHA NIEMIEC (MA) is 1477059350

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MARTHA NIEMIEC (MA)
NPI
1477059350
Phone
(781) 744-1066
Address
LIFESTYLE HEALTH
Enumeration Date
1 April 2018
Last Update Date
2 September 2021

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Secondary Phone
-
Graduation Year
2019 (7 years ago)
PAC ID
2961819248
Group Practice PAC ID
2264336528
Professional Enrollment ID
I20210405000158
Address ID
MA018050001Bu41XXXRDXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:8State licenses:1Digital endpointsOther names

1,694 CLINICAL PSYCHOLOGIST in MA

Provider Addresses for MARTHA NIEMIEC (MA)

  • LIFESTYLE HEALTH

    85 MIDDLESEX TPKE STE 3110

    BURLINGTON, MA 01803

    Phone: (781) 744-1066

    Type: Location

  • GEISINGER MEDICAL CENTER 100 NORTH ACADEMY AVENUE

    DANVILLE, PA 178220001

    Phone: (570) 271-6211

    Type: Mailing

  • GEISINGER MEDICAL CENTER DEPARTMENT OF PSYCHIATRY

    100 NORTH ACADEMY AVENUE

    DANVILLE, PA 17822

    Phone: (570) 271-6516

    Type: Location

  • LAHEY HOSPITAL & MEDICAL CENTER

    41 MALL ROAD

    BURLINGTON, MA 01805

    Phone: (781) 744-8000

    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: 2021-04-05

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
I20210405000158IClinical 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 psychotherapy7115$0
90834Psychotherapy, 45 minutes6823$0
90791Psychiatric diagnostic evaluation2929$0
90832Psychotherapy, 30 minutes2816$0
View full utilization report →

Insurance plans in this area (ZIP 01803)

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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: 2264336528View full group profile
NameSpecialtyState
Nurse PractitionerMA
-MA
G A S T R O E N T E R O L O G YNY
Physician AssistantMA
A N E S T H E S I O L O G YMA

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Frequently asked questions

What NPI should I save for MARTHA NIEMIEC (MA)?
Save NPI 1477059350 if you need a stable reference for MARTHA NIEMIEC (MA).
Is MARTHA NIEMIEC (MA) active in the national directory?
MARTHA NIEMIEC (MA)'s public NPI profile is in an active state.
What field does MARTHA NIEMIEC (MA) work in?
You can think of MARTHA NIEMIEC (MA) as practicing within Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Where is MARTHA NIEMIEC (MA)'s primary listing?
We display Burlington, Massachusetts because that is what the record indicates for MARTHA NIEMIEC (MA).
Is MARTHA NIEMIEC (MA) a real provider?
This page reflects official NPPES data for NPI 1477059350. Always confirm identity and privileges with the practice and licensing boards.

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