DR. DAVID PAYNE BULLIS (PHD) – Clinical Psychologist, NPI 1760445977

DR. DAVID PAYNE BULLIS (PHD) is a healthcare provider. based in Milton, Massachusetts. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 6826 (MA). The NPI Number for DR. DAVID PAYNE BULLIS (PHD) is 1760445977

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID PAYNE BULLIS (PHD)
NPI
1760445977
Phone
(781) 843-2555
Address
20 Austin St
Enumeration Date
10 April 2006
Last Update Date
12 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7818432555
Graduation Year
1994 (32 years ago)
PAC ID
0042213118
Professional Enrollment ID
I20060809000369
Address ID
MA021861104MI20XXXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,694 CLINICAL PSYCHOLOGIST in MA

Provider Addresses for DR. DAVID PAYNE BULLIS (PHD)

  • 20 Austin St

    Milton, MA 021861104

    Phone: (781) 843-2555

    Fax: (781) 843-9199

    Type: Location

  • MGH

    55 FRUIT STREET

    BOSTON, MA 02114

    Phone: (617) 219-1279

    Type: Location

  • 20, Austin Street, Milton Upper Mills, Milton, Norfolk County, Massachusetts, 02126, United States

    MILTON, MA 021861104

    Phone: (617) 698-1778

    Fax: (781) 843-9199

    Type: Mailing

  • Eda's Cafe, 639, Granite Street, Five Corners, Braintree, Norfolk County, Massachusetts, 02184, United States

    SUITE LL15

    BRAINTREE, MA 021845366

    Phone: (617) 680-8096

    Fax: (781) 843-9199

    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: 2006-08-09

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
I20060809000369IClinical 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
90837Psychotherapy, 1 hour18632$0
90834Psychotherapy, 45 minutes5222$0
90791Psychiatric diagnostic evaluation3232$0
90832Psychotherapy, 30 minutes1712$0
View full utilization report →

Insurance plans in this area (ZIP 02186)

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Reviews

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Frequently asked questions

Where can patients find DR. DAVID PAYNE BULLIS (PHD)'s NPI?
You can confirm DR. DAVID PAYNE BULLIS (PHD) with NPI 1760445977; it appears in the national provider directory.
Is DR. DAVID PAYNE BULLIS (PHD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DR. DAVID PAYNE BULLIS (PHD) work in?
You can think of DR. DAVID PAYNE BULLIS (PHD) as practicing within Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Where is DR. DAVID PAYNE BULLIS (PHD)'s primary listing?
We display Milton, Massachusetts because that is what the record indicates for DR. DAVID PAYNE BULLIS (PHD).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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