Maureen Kelly McCormick, PSY.D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6334 Issued in MA

Practice address

592A Washington St
Wellesley, MA 02482-6417

Phone

(508) 736-7796

NPI assigned

Dec 12, 2006

Last updated

May 31, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Maureen (Betsy) Kelly McCormick Other name

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590883200000",
    "number": "1235290560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 PLAIN STREET",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "01778",
            "telephone_number": "508-358-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "592A WASHINGTON ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024826417",
            "telephone_number": "508-736-7796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Chapel Pl",
            "address_purpose": "LOCATION",
            "city": "Wellesley",
            "state": "MA",
            "postal_code": "024813130",
            "country_code": "US",
            "telephone_number": "781-235-4950",
            "fax_number": "781-235-7176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "MAUREEN",
        "middle_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-05-31",
        "certification_date": "2020-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "6334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BL",
            "identifier": "W05172",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAUREEN (BETSY)",
            "last_name": "MCCORMICK",
            "middle_name": "KELLY",
            "prefix": "DR.",
            "credential": "PSY.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mary Maxwell, NURSE PRACTITIONER
• Denise Mayo, M.D.
• Laura Linda McCann, M.D.
• Laura L McCord, MD
• Lindsay McCormack, MD
• Phillip D McCrary, MD
• Tiana Lee McCrory, MSW, LCSW
• Stephen Patrick McDermott, MD
• McGarty Therapeutic Services, PLLC
• Alayna Louise McGarty

• Psychologist in Wellesley, MA
• Providers in Wellesley, MA by specialty
• Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.