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DR. MARY COAKLEY-WELCH PHD
NPI 1114398435
Psychologist - Clinical in Concord, MA

Active since October 13, 2015Opted out of Medicare · through Aug 18, 2027
747 MAIN ST STE 301, CONCORD, MA 01742(781) 368-9020(781) 368-9021 Get Directions Write a Review

NPPES record last updated: July 30, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mary Coakley-welch Phd NPPES

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

DR. MARY COAKLEY-WELCH PHD (NPI 1114398435) is an individual clinical provider in Concord, Massachusetts, licensed in Massachusetts (7057) and active in the NPI registry since October 2015. She has opted out of Medicare through August 18, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1114398435
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MARY COAKLEY-WELCHCredential: PHD
Location Address747 MAIN ST STE 301Concord, MA 01742-3329
Mailing Address747 Main St Ste 301Concord, MA 01742-3329 · (781) 368-9020 · Fax (781) 368-9021
Phone(781) 368-9020
Fax(781) 368-9021
Sole ProprietorYes
Enumeration DateOctober 13, 2015
Last NPPES UpdateJuly 30, 2022
NPPES CertifiedJuly 30, 2022
✔ NPI 1114398435 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 · 7057
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.
747 MAIN ST STE 301, Concord, MA 01742
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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. Mary Coakley-welch Phd 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 August 18, 2021 through August 18, 2027.

Opt-Out Effective DateAugust 18, 2021
Opt-Out In Effect ThroughAugust 18, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01742 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.

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 Mary Coakley-welch's NPI number?

The NPI number for Mary Coakley-welch is 1114398435. It was assigned to this individual provider in the NPPES registry on October 13, 2015.

Where is Mary Coakley-welch located?

Mary Coakley-welch practices at 747 Main St Ste 301, Concord, MA 01742. The listed phone number is (781) 368-9020.

What is Mary Coakley-welch's specialty?

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

Is Mary Coakley-welch enrolled in Medicare?

No. Mary Coakley-welch has opted out of Medicare through August 18, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Mary Coakley-welch was last updated on July 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.