DR. MARC A SPISTO (ED.D.) – Clinical Psychologist, NPI 1538147822

DR. MARC A SPISTO (ED.D.) is a healthcare provider. based in Boston, Massachusetts. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials ED.D.. They hold a License No. 7204 (MA). The NPI Number for DR. MARC A SPISTO (ED.D.) is 1538147822

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARC A SPISTO (ED.D.)
NPI
1538147822
Phone
Not provided
Address
PO BOX 415348
Enumeration Date
6 January 2006
Last Update Date
8 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6176651000
Graduation Year
1995 (31 years ago)
PAC ID
4789760901
Group Practice PAC ID
8921910894
Professional Enrollment ID
I20080327000408
Address ID
MA021391047CA1493XSTXX300
Telehealth
Yes

Contacts

FHIR Endpoint
https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Secure Messaging
mspisto23794@UmassMemorial.direct-ci.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,694 CLINICAL PSYCHOLOGIST in MA

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Provider Addresses for DR. MARC A SPISTO (ED.D.)

  • PO Box 846028, Albany Street, Church Green, Financial District, Boston, Suffolk County, Massachusetts, 02284-6028, United States

    BOSTON, MA 022415348

    Phone:

    Type: Mailing

  • Hospital for Behavioral Medicine, 100, Century Drive, Worcester, Worcester County, Massachusetts, 01653, United States

    WORCESTER, MA 016061244

    Phone: (508) 762-5400

    Fax: (508) 762-5410

    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: 2008-03-27

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
I20080327000408IClinical 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02241)

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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: 8921910894View full group profile
NameSpecialtyState
Family PracticeMA
-MA
-NH
Rheumatology, Internal MedicineMA
-MA
Emergency MedicineMA
Family PracticeMA
O B S T E T R I C S/ G Y N E C O L O G YPA
Emergency MedicineMA
Physician AssistantMA

Reviews

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Frequently asked questions

Can I use this page to confirm DR. MARC A SPISTO (ED.D.)'s NPI?
Yes. DR. MARC A SPISTO (ED.D.) is listed with NPI 1538147822 in the public NPI dataset.
Does the file indicate DR. MARC A SPISTO (ED.D.) is practicing under active NPI?
Directory data currently reports DR. MARC A SPISTO (ED.D.) as active.
What is DR. MARC A SPISTO (ED.D.) best known for clinically?
Directory data describes DR. MARC A SPISTO (ED.D.) with Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What address line appears for DR. MARC A SPISTO (ED.D.)?
DR. MARC A SPISTO (ED.D.)'s geographic hint is Boston, Massachusetts in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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