Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. JUDITH ANNE LARSEN PH.D.
NPI 1629031570
Psychologist - Clinical in South Boston, MA

Active since April 11, 2006PECOS Enrolled
58 OLD COLONY AVE, SOUTH BOSTON, MA 02127(617) 268-1700(617) 268-1991 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Judith Anne Larsen Ph.d. NPPES

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

DR. JUDITH ANNE LARSEN PH.D. (NPI 1629031570) is an individual clinical provider in South Boston, Massachusetts, licensed in Massachusetts (4567) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Tufts Medical Center, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1629031570
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JUDITH ANNE LARSENCredential: PH.D.
Location Address58 OLD COLONY AVESouth Boston, MA 02127-2406
Mailing Address159 Jason StArlington, MA 02476-8033 · (617) 268-1700 · Fax (617) 268-1991
Fax(617) 268-1991
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateApril 11, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1629031570 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 · 4567
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.

58 OLD COLONY AVE, South Boston, MA 02127

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Judith Anne Larsen Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931154887
PECOS Enrollment IDI20050314000991
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tufts Medical Center

Acute Care Hospitals · Boston, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220116
Location800 Washington StreetBoston, MA 02111 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02127 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 15

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

Psychiatry & Neurology (Child & Adolescent Psychiatry)
58 OLD COLONY AVE
SOUTH BOSTON, MA 02127
Counselor (Mental Health)
58 OLD COLONY AVE
SOUTH BOSTON, MA 02127
Social Worker (Clinical)
58 OLD COLONY AVE
SOUTH BOSTON, MA 02127
Student in an Organized Health Care Education/Training Program
58 OLD COLONY AVE
BOSTON, MA 02127
Student in an Organized Health Care Education/Training Program
58 OLD COLONY AVE
SOUTH BOSTON, MA 02127
Student in an Organized Health Care Education/Training Program
58 OLD COLONY AVE
SOUTH BOSTON, MA 02127
Student in an Organized Health Care Education/Training Program
58 OLD COLONY AVE
SOUTH BOSTON, MA 02127
Student in an Organized Health Care Education/Training Program
58 OLD COLONY AVE
SOUTH BOSTON, MA 02127

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629031570, enumerated as an "individual" on April 11, 2006.

The provider is located at 58 OLD COLONY AVE SOUTH BOSTON, MA 02127 and the phone number is (617) 268-1700.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

Judith Larsen is affiliated with: TUFTS MEDICAL CENTER.