DR. ROBERT J MENDOZA (PSY.D.) – Clinical Neuropsychologist, NPI 1992704829

DR. ROBERT J MENDOZA (PSY.D.) is a healthcare provider. based in Dedham, Massachusetts. specializing in Clinical Neuropsychologist. They hold the professional credentials PSY.D.. They hold a License No. 7275 (MA). The NPI Number for DR. ROBERT J MENDOZA (PSY.D.) is 1992704829

Main info

Male
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROBERT J MENDOZA (PSY.D.)
NPI
1992704829
Phone
(617) 953-9154
Address
339 WASHINGTON ST
Enumeration Date
21 July 2005
Last Update Date
25 March 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1996 (30 years ago)
PAC ID
9931007804
Professional Enrollment ID
I20031230000261
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. ROBERT J MENDOZA (PSY.D.)

  • 339, Washington Street, Dedham, Norfolk County, Massachusetts, 02026, United States

    #203

    DEDHAM, MA 020261870

    Phone: (617) 953-9154

    Mailing address matches the actual address.

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: 2003-12-30

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
I20031230000261IClinical 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 02026)

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Reviews

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Frequently asked questions

How do I look up DR. ROBERT J MENDOZA (PSY.D.) by NPI?
Use NPI 1992704829 when you need to reference DR. ROBERT J MENDOZA (PSY.D.) in forms, claims, or directories.
Is DR. ROBERT J MENDOZA (PSY.D.) active in the national directory?
DR. ROBERT J MENDOZA (PSY.D.)'s public NPI profile is in an active state.
What kind of provider is DR. ROBERT J MENDOZA (PSY.D.)?
The page reflects Clinical Neuropsychologist for DR. ROBERT J MENDOZA (PSY.D.). Clinical services aligned with this taxonomy classification.
What location shows for DR. ROBERT J MENDOZA (PSY.D.)?
We surface Dedham, Massachusetts for DR. ROBERT J MENDOZA (PSY.D.) based on available NPPES addresses.
Is DR. ROBERT J MENDOZA (PSY.D.) a real provider?
This page reflects official NPPES data for NPI 1992704829. Always confirm identity and privileges with the practice and licensing boards.

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