NORTH SHORE PSYCHOLOGICAL SERVICES, PC
NPI 1306036348
Psychologist - Clinical in Wenham, MA

Q: What is North Shore Psychological Services, PC's specialty?

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

Active since July 26, 2007

135 MAIN ST, WENHAM, MA 01984(978) 468-7671(978) 468-9720 Get Directions Write a Review

NPPES record last updated: July 26, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About North Shore Psychological Services, Pc NPPES

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

NORTH SHORE PSYCHOLOGICAL SERVICES, PC (NPI 1306036348) is a healthcare organization registered as a clinical in Wenham, Massachusetts and active in the NPI registry since July 2007. The organization lists Donald Deblock, President, as its authorized official.

NPPES Registry Identity

NPI1306036348

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameNORTH SHORE PSYCHOLOGICAL SERVICES, PC

Location Address135 MAIN STWenham, MA 01984-1543

Mailing AddressPo Box 567Wenham, MA 01984-2567 · (978) 468-7671 · Fax (978) 468-9720

Phone(978) 468-7671

Fax(978) 468-9720

Organization SubpartNo

Authorized OfficialDonald DeblockPresident · (978) 468-7671

Enumeration DateJuly 26, 2007

✔ NPI 1306036348 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 · 4602

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.

135 MAIN ST, Wenham, MA 01984

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Other Identifiers 2

Medicare PINWW0267MA

OtherWO4426MA · Bc/bs

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

North Shore Psychological Services, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to North Shore Psychological Services, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Donald Deblock, PH.D.

Clinical Psychologist

NPI 1912094202

135 MAIN STREET
Wenham, MA 01984

(978) 468-7671

✔ PECOSSame address

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

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 North Shore Psychological Services, PC's NPI number?

The NPI number for North Shore Psychological Services, PC is 1306036348. It was assigned to this organization in the NPPES registry on July 26, 2007.

Where is North Shore Psychological Services, PC located?

North Shore Psychological Services, PC is located at 135 Main St, Wenham, MA 01984. The listed phone number is (978) 468-7671.

What is North Shore Psychological Services, PC's specialty?

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

Is North Shore Psychological Services, PC enrolled in Medicare?

Yes. North Shore Psychological Services, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through North Shore Psychological Services, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to North Shore Psychological Services, PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for North Shore Psychological Services, PC was last updated on July 26, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.