DR. MELINDA EILEEN KULISH PH.D.
NPI 1073681425
Psychologist - Clinical in Cambridge, MA

Active since December 02, 2006Opted out of Medicare · through Jul 30, 2026
1679 MASSACHUSETTS AVE, CAMBRIDGE, MA 02138(617) 492-2841(617) 492-1079 Get Directions Write a Review

NPPES record last updated: December 19, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Melinda Eileen Kulish Ph.d. NPPES

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

DR. MELINDA EILEEN KULISH PH.D. (NPI 1073681425) is an individual clinical provider in Cambridge, Massachusetts, licensed in Massachusetts (7822) and active in the NPI registry since December 2006. She has opted out of Medicare through July 30, 2026.

NPPES Registry Identity

NPI1073681425
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MELINDA EILEEN KULISHCredential: PH.D.
Location Address1679 MASSACHUSETTS AVECambridge, MA 02138-1877
Mailing Address7 Fairview AveArlington, MA 02474-1215 · (781) 643-4969
Fax(617) 492-1079
Sole ProprietorYes
Enumeration DateDecember 2, 2006
Last NPPES UpdateDecember 19, 2011
NPI 1073681425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in MA · 7822
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.

Also ListedClinical NeuropsychologistTaxonomy 103G00000X · License 7822 (MA)
1679 MASSACHUSETTS AVE, Cambridge, MA 02138

Other Identifiers 1

OtherW06157MA · Bcbs Of Ma Indemnity

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Melinda Eileen Kulish Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 30, 2020 through July 30, 2026.

Opt-Out Effective DateJuly 30, 2020
Opt-Out In Effect ThroughJuly 30, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
1679 MASSACHUSETTS AVE
CAMBRIDGE, MA 02138
Psychologist (Clinical)
1679 MASSACHUSETTS AVE, FIRST FLOOR
CAMBRIDGE, MA 02138
Psychologist (Clinical)
1679 MASSACHUSETTS AVE, FIRST FLOOR
CAMBRIDGE, MA 02138
Psychologist (Clinical)
1679 MASSACHUSETTS AVE
CAMBRIDGE, MA 02138
Psychologist (Clinical)
1679 MASSACHUSETTS AVE
CAMBRIDGE, MA 02138
Psychologist (Clinical)
1679 MASSACHUSETTS AVE
CAMBRIDGE, MA 02138
Psychologist (Clinical)
1679 MASSACHUSETTS AVE
CAMBRIDGE, MA 02138
Psychiatry & Neurology (Psychiatry)
1679 MASSACHUSETTS AVE, FIRST FLOOR
CAMBRIDGE, MA 02138

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073681425, enumerated as an "individual" on December 02, 2006.

The provider is located at 1679 MASSACHUSETTS AVE CAMBRIDGE, MA 02138 and the phone number is (617) 492-2841.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.