1. Home
  2. Directory
  3. Massachusetts
  4. West Boylston
  5. Psychiatry Neurology
  6. NPI Profile

DR. KAMLYN HAYNES M.D.
NPI 1417936667
Psychiatry & Neurology - Child & Adolescent Psychiatry in West Boylston, MA

Active since January 15, 2006PECOS Enrolled
47 PROSPECT ST, WEST BOYLSTON, MA 01583(781) 608-2241(508) 835-4418 Get Directions Write a Review

NPPES record last updated: October 15, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 15, 2021, Oct 5, 2021 (2 updates tracked since 2021).

About Dr. Kamlyn Haynes M.d. NPPES

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

DR. KAMLYN HAYNES M.D. (NPI 1417936667) is an individual child & adolescent psychiatry provider in West Boylston, Massachusetts, licensed in Massachusetts (158525) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Worcester.

NPPES Registry Identity

NPI1417936667
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameDR. KAMLYN HAYNESCredential: M.D.
Location Address47 PROSPECT STWest Boylston, MA 01583-1301
Mailing Address47 Prospect StWest Boylston, MA 01583-1301 · (781) 608-2241 · Fax (508) 835-4418
Phone(781) 608-2241
Fax(508) 835-4418
Sole ProprietorYes
Enumeration DateJanuary 15, 2006
Last NPPES UpdateOctober 15, 20212 updates tracked since enumeration
NPPES CertifiedOctober 15, 2021
✔ NPI 1417936667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in MA · 158525
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 158525 (MA)
47 PROSPECT ST, West Boylston, MA 01583
Open in Google Maps ↗

Secondary Practice Location 1

Location 155 Lake Ave NWorcester, MA 01655-0002 · Phone (774) 443-7962 · Fax (774) 443-7042

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kamlyn Haynes M.d. 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 Kamlyn Haynes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Umass Memorial Medical Group Inc
6.7 mi
Internal Medicine
55 LAKE AVE N
Worcester, MA 01655
  • Reassigned Medicare billing, Massachusetts enrollment
  • 2,902 clinicians in this Medicare group
NPI 1760445373 (508) 334-1000

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 4

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

BRIEN GOODWIN
Psychologist
47 PROSPECT ST
WEST BOYLSTON, MA 01583
Worcester County (617) 209-9791
LUTZ CHILD AND FAMILY ASSOCIATES, P.C.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
47 PROSPECT ST, SUITE ONE
WEST BOYLSTON, MA 01583
Worcester County (774) 239-2013
MS. JENNIFER P MCCARTHY LICSW
Social Worker
47 PROSPECT ST
WEST BOYLSTON, MA 01583
Worcester County (508) 446-3786
MRS. ANITA AMANTE LICSW
Social Worker (Clinical)
47 PROSPECT ST
WEST BOYLSTON, MA 01583
Worcester County (508) 709-5513

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 Kamlyn Haynes's NPI number?

The NPI number for Kamlyn Haynes is 1417936667. It was assigned to this individual provider in the NPPES registry on January 15, 2006.

Where is Kamlyn Haynes located?

Kamlyn Haynes practices at 47 Prospect St, West Boylston, MA 01583. The listed phone number is (781) 608-2241.

What is Kamlyn Haynes's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Kamlyn Haynes enrolled in Medicare?

Yes. Kamlyn Haynes is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kamlyn Haynes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kamlyn Haynes reassigns Medicare benefits to Umass Memorial Medical Group Inc (Worcester, 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 Kamlyn Haynes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kamlyn Haynes was last updated on October 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.