DR. TEODOLINDA WAYSHAK PIQUE PSY.D.
NPI 1124301429
Psychologist - Clinical in Lowell, MA

Active since September 22, 2011PECOS EnrolledAccepts Medicare Assignment
100 MERRIMACK ST, SUITE 205-F, LOWELL, MA 01852(510) 332-1819 Get Directions Write a Review

NPPES record last updated: March 22, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Teodolinda Wayshak Pique Psy.d. NPPES

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

DR. TEODOLINDA WAYSHAK PIQUE PSY.D. (NPI 1124301429) is an individual clinical provider in Lowell, Massachusetts, licensed in Massachusetts (9449) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1124301429
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. TEODOLINDA WAYSHAK PIQUECredential: PSY.D.
Location Address100 MERRIMACK ST, SUITE 205-FLowell, MA 01852-1708
Mailing Address35 Riverwalk Way Unit 108Lowell, MA 01854-3651 · (510) 332-1819
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateSeptember 22, 2011
Last NPPES UpdateMarch 22, 2019
✔ NPI 1124301429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in MA · 9449✔ Licensed in CA · PSY19127
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 ListedPsychologistTaxonomy 103T00000X · License 9449 (MA)
100 MERRIMACK ST, Lowell, MA 01852

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Teodolinda Wayshak Pique 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 ID1456694165
PECOS Enrollment IDI20190521002552
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Teodolinda Pique reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dermatology
55 FRUIT ST, BUL 2
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,360 clinicians in this Medicare group
General Acute Care Hospital
55 FRUIT ST, BULFINCH 360
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,234 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01852 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 12

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

Nurse Practitioner (Psychiatric/Mental Health)
100 MERRIMACK ST
LOWELL, MA 01852
Developmental Therapist
100 MERRIMACK ST
LOWELL, MA 01852
Assistant Behavior Analyst
100 MERRIMACK ST
LOWELL, MA 01852
Counselor (Mental Health)
100 MERRIMACK ST
LOWELL, MA 01852
Nurse Practitioner (Psychiatric/Mental Health)
100 MERRIMACK ST
LOWELL, MA 01852
Social Worker
100 MERRIMACK ST
LOWELL, MA 01852
Counselor (Mental Health)
100 MERRIMACK ST
LOWELL, MA 01852
Counselor (School)
100 MERRIMACK ST
LOWELL, MA 01852

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 Teodolinda Pique's NPI number?

The NPI number for Teodolinda Pique is 1124301429. It was assigned to this individual provider in the NPPES registry on September 22, 2011.

Where is Teodolinda Pique located?

Teodolinda Pique practices at 100 Merrimack St Suite 205-F, Lowell, MA 01852. The listed phone number is (510) 332-1819.

What is Teodolinda Pique's specialty?

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

Is Teodolinda Pique enrolled in Medicare?

Yes. Teodolinda Pique 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.

Which organizations bill Medicare for Teodolinda Pique's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Teodolinda Pique reassigns Medicare benefits to 2 organizations: Massachusetts General Physicians Organization Inc (Boston, MA) and The General Hospital Corporation (Boston, MA). Each 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 Teodolinda Pique's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Teodolinda Pique accept?

Health plans from Anthem Blue Cross and Blue Shield and WellSense Health Plan list Teodolinda Pique as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Teodolinda Pique was last updated on March 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.