MS. VIRGINIA DIANE PEISCH M.SC.
NPI 1174187934
Psychologist - Clinical Child & Adolescent in Boston, MA

Q: What is Virginia Peisch's NPI number?

The NPI number for Virginia Peisch is 1174187934. It was assigned to this individual provider in the NPPES registry on April 26, 2019.

Q: What is Virginia Peisch's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: When was this NPI record last updated?

The NPPES record for Virginia Peisch was last updated on August 19, 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.

Active since April 26, 2019PECOS Enrolled

300 LONGWOOD AVE, BOSTON, MA 02115(617) 355-6000 Get Directions Write a Review

NPPES record last updated: August 19, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 19, 2022, Apr 26, 2019 (2 updates tracked since 2019).

On this page

About Ms. Virginia Diane Peisch M.sc. NPPES

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

MS. VIRGINIA DIANE PEISCH M.SC. (NPI 1174187934) is an individual clinical child & adolescent provider in Boston, Massachusetts, licensed in Massachusetts (11670) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174187934

Entity TypeIndividualFemale

Primary Taxonomy103TC2200X

Provider Legal NameMS. VIRGINIA DIANE PEISCHCredential: M.SC.

Location Address300 LONGWOOD AVEBoston, MA 02115-5724

Mailing Address300 Longwood AveBoston, MA 02115-5724

Phone(617) 355-6000

Sole ProprietorYes

Enumeration DateApril 26, 2019

Last NPPES UpdateAugust 19, 20222 updates tracked since enumeration

NPPES CertifiedAugust 18, 2022

✔ NPI 1174187934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in MA · 11670

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

300 LONGWOOD AVE, Boston, MA 02115

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Virginia Diane Peisch M.sc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Virginia Peisch reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Children's Hospital Pediatric Associates, Inc

Same address

Pediatrics

300 LONGWOOD AVE
Boston, MA 02115

Reassigned Medicare billing, Massachusetts enrollment
1,358 clinicians in this Medicare group

NPI 1457306664 (617) 355-6000

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

Other Providers at the Same Location NPPES 20

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

JULIE ANN HANSEN LCSW

Social Worker (Clinical)

300 LONGWOOD AVE
BOSTON, MA 02115

Suffolk County (857) 218-4309

MS. ANNA ROGLIERI

Nurse Practitioner (Psychiatric/Mental Health)

300 LONGWOOD AVE
BOSTON, MA 02115

Suffolk County (617) 355-6000

STEPHEN G. FLYNN M.D.

Anesthesiology (Pediatric Anesthesiology)

300 LONGWOOD AVE
BOSTON, MA 02115

Suffolk County (617) 355-6000

MRS. LAUREN ASHLEY SHARIS P.T., D.P.T

Physical Therapist

300 LONGWOOD AVE
BOSTON, MA 02115

Suffolk County (617) 355-7216

MS. SOYUN KWAN LICSW

Social Worker (Clinical)

300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTON
BOSTON, MA 02115

Suffolk County (617) 355-0567

PUJA BANKA M.D.

Pediatrics

300 LONGWOOD AVE, BADER 203
BOSTON, MA 02115

Suffolk County (617) 355-6363

MR. COURTNEY SULLIVAN FRATTO CPNP

Nurse Practitioner (Pediatrics)

300 LONGWOOD AVE, HUNNEWELL BUILDING 322
BOSTON, MA 02115

Suffolk County (857) 218-4085

DR. ELIZABETH S TAGLAUER M.D., PH.D.

Pediatrics (Neonatal-Perinatal Medicine)

300 LONGWOOD AVE
BOSTON, MA 02115

Suffolk County (617) 355-6000

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 Virginia Peisch's NPI number?

The NPI number for Virginia Peisch is 1174187934. It was assigned to this individual provider in the NPPES registry on April 26, 2019.

Where is Virginia Peisch located?

Virginia Peisch practices at 300 Longwood Ave, Boston, MA 02115. The listed phone number is (617) 355-6000.

What is Virginia Peisch's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Virginia Peisch enrolled in Medicare?

Yes. Virginia Peisch is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Virginia Peisch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Virginia Peisch reassigns Medicare benefits to Children's Hospital Pediatric Associates, Inc (Boston, MA). The 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 Virginia Peisch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Virginia Peisch accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Virginia Peisch 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 Virginia Peisch was last updated on August 19, 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.