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KEVIN MAZZOLA PH.D.
NPI 1215758727
Psychologist - Clinical in Concord, MA

Active since October 18, 2024PECOS EnrolledAccepts Medicare Assignment
30 MONUMENT SQ STE 150, CONCORD, MA 01742(617) 661-1100 Get Directions Write a Review

NPPES record last updated: November 27, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kevin Mazzola Ph.d. NPPES

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

KEVIN MAZZOLA PH.D. (NPI 1215758727) is an individual clinical provider in Concord, Massachusetts, licensed in Massachusetts (PSY10000169) and active in the NPI registry since October 2024. He is enrolled in Medicare PECOS, maintains a secondary practice location in Weymouth, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1215758727
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameKEVIN MAZZOLACredential: PH.D.
Location Address30 MONUMENT SQ STE 150Concord, MA 01742-1858
Mailing Address34 Thornton RdChestnut Hill, MA 02467-3611 · (201) 835-5580
Phone(617) 661-1100
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 18, 2024
Last NPPES UpdateNovember 27, 2024
NPPES CertifiedNovember 27, 2024
✔ NPI 1215758727 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 · PSY10000169
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.
30 MONUMENT SQ STE 150, Concord, MA 01742
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Secondary Practice Location 1

Location 1169 Libbey PkwyWeymouth, MA 02189-3189 · Phone (508) 238-7766

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care, Taro Health.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

Kevin Mazzola Ph.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 ID4082144274
PECOS Enrollment IDI20250203002097
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 Kevin Mazzola reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Child And Family Psychological Services, PLLC
21 mi
Psychologist
89 ACCESS RD, SUITE 24
Norwood, MA 02062
  • Reassigned Medicare billing, Massachusetts enrollment
  • 349 clinicians in this Medicare group
NPI 1912987181 (781) 551-0999

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 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.

Other Providers at the Same Location NPPES

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

SALLY ANN SUPINSKI-RUZECKI
Psychologist (School)
30 MONUMENT SQ STE 150
CONCORD, MA 01742
Middlesex County (508) 981-8051

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 Kevin Mazzola's NPI number?

The NPI number for Kevin Mazzola is 1215758727. It was assigned to this individual provider in the NPPES registry on October 18, 2024.

Where is Kevin Mazzola located?

Kevin Mazzola practices at 30 Monument Sq Ste 150, Concord, MA 01742. The listed phone number is (617) 661-1100.

What is Kevin Mazzola's specialty?

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

Is Kevin Mazzola enrolled in Medicare?

Yes. Kevin Mazzola 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 organization bills Medicare for Kevin Mazzola's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Mazzola reassigns Medicare benefits to Child And Family Psychological Services, PLLC (Norwood, 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 Kevin Mazzola's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Mazzola accept?

Health plans from Harvard Pilgrim Health Care and Taro Health list Kevin Mazzola 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 Kevin Mazzola was last updated on November 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.