DR. CYNTHIA S. TAVILLA PSY.D.
NPI 1104816164
Psychologist - Clinical in Lexington, MA

Active since October 21, 2005PECOS EnrolledAccepts Medicare Assignment
9 MERIAM ST, . SUITE 25, LEXINGTON, MA 02420(781) 863-5570 Get Directions Write a Review

NPPES record last updated: May 6, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Cynthia S. Tavilla Psy.d. NPPES

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

DR. CYNTHIA S. TAVILLA PSY.D. (NPI 1104816164) is an individual clinical provider in Lexington, Massachusetts, licensed in Massachusetts (7549) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1104816164
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. CYNTHIA S. TAVILLACredential: PSY.D.
Location Address9 MERIAM ST, . SUITE 25Lexington, MA 02420-5300
Mailing Address9 Meriam St, . Suite 25Lexington, MA 02420-5300 · (781) 863-5570
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateOctober 21, 2005
Last NPPES UpdateMay 6, 2011
NPI 1104816164 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 · 7549
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.

9 MERIAM ST, Lexington, MA 02420

Other Names 1

Former Name (1)Dr. Cynthia S. Keefe Psy.d.

Other Identifiers 1

Medicare ID-Type UnspecifiedKEW50972MA · Clinical Psychologist

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Cynthia S. Tavilla Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153510227
PECOS Enrollment IDI20110105001201
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02420 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$189.86 typical visit price
range $63.72 – $189.86
Typical copayment $47.46 (range $15.93 – $47.46)
Most-billed visit code 99205
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

Social Worker (Clinical)
9 MERIAM ST, STE 18
LEXINGTON, MA 02420
Social Worker (Clinical)
9 MERIAM ST, STE 18
LEXINGTON, MA 02420
Psychologist (Clinical)
9 MERIAM ST, SUITE #22
LEXINGTON, MA 02420
Acupuncturist
9 MERIAM ST, SUITE 16
LEXINGTON, MA 02420
Social Worker (Clinical)
9 MERIAM ST, UNIT 18
LEXINGTON, MA 02420
Clinic/Center (Adult Day Care)
9 MERIAM ST, SUITE 28
LEXINGTON, MA 02420
Psychiatry & Neurology (Psychiatry)
9 MERIAM ST, SUITE #22
LEXINGTON, MA 02420

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 Cynthia Tavilla's NPI number?

The NPI number for Cynthia Tavilla is 1104816164. It was assigned to this individual provider in the NPPES registry on October 21, 2005. The provider is also known as Dr. Cynthia S. Keefe Psy.D..

Where is Cynthia Tavilla located?

Cynthia Tavilla practices at 9 Meriam St . Suite 25, Lexington, MA 02420. The listed phone number is (781) 863-5570.

What is Cynthia Tavilla's specialty?

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

Is Cynthia Tavilla enrolled in Medicare?

Yes. Cynthia Tavilla is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Cynthia Tavilla was last updated on May 6, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.