HIGHLAND PSYCHOLOGICAL ASSOCIATES, LLC
NPI 1033453584
Psychologist - Clinical in Cambridge, MA

Q: What is Highland Psychological Associates, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since November 23, 2012

875 MASSACHUSETTS AVE, SUITE 71, CAMBRIDGE, MA 02139(857) 600-0875 Get Directions Write a Review

NPPES record last updated: August 14, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Highland Psychological Associates, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HIGHLAND PSYCHOLOGICAL ASSOCIATES, LLC (NPI 1033453584) is a healthcare organization registered as a clinical in Cambridge, Massachusetts and active in the NPI registry since November 2012. The organization lists Kelly R Wilson, Owner, as its authorized official.

NPPES Registry Identity

NPI1033453584

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameHIGHLAND PSYCHOLOGICAL ASSOCIATES, LLC

Location Address875 MASSACHUSETTS AVE, SUITE 71Cambridge, MA 02139-3067

Mailing Address875 Massachusetts Ave, Suite 71Cambridge, MA 02139-3067 · (857) 600-0875

Phone(857) 600-0875

Organization SubpartNo

Authorized OfficialKelly R WilsonOwner · (857) 600-0875

Enumeration DateNovember 23, 2012

Last NPPES UpdateAugust 14, 2015

✔ NPI 1033453584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MA · 9580

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

875 MASSACHUSETTS AVE, Cambridge, MA 02139

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Highland Psychological Associates, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Highland Psychological Associates, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kelly Wilson, PH.D.

Clinical Psychologist

NPI 1740596279

875 MASSACHUSETTS AVE SUITE 71
Cambridge, MA 02139

(857) 600-0875

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Highland Psychological Associates, LLC's NPI number?

The NPI number for Highland Psychological Associates, LLC is 1033453584. It was assigned to this organization in the NPPES registry on November 23, 2012.

Where is Highland Psychological Associates, LLC located?

Highland Psychological Associates, LLC is located at 875 Massachusetts Ave Suite 71, Cambridge, MA 02139. The listed phone number is (857) 600-0875.

What is Highland Psychological Associates, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Highland Psychological Associates, LLC enrolled in Medicare?

Yes. Highland Psychological Associates, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Highland Psychological Associates, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Highland Psychological Associates, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Highland Psychological Associates, LLC was last updated on August 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.