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

Q: What is Judith Larsen's NPI number?

The NPI number for Judith Larsen is 1629031570. It was assigned to this individual provider in the NPPES registry on April 11, 2006.

Q: What is Judith Larsen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Judith Larsen was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

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: November 01, 2026.

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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

Phone(617) 268-1700

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

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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 (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.

Medicare Billing Reassignments

Medicare enrollment records show Judith Larsen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tufts Medical Center, Inc.

1.0 mi

General Acute Care Hospital

800 WASHINGTON ST
Boston, MA 02111

Reassigned Medicare billing, Massachusetts enrollment
74 clinicians in this Medicare group

NPI 1730132515 (617) 636-5000

Pratt Psychiatric Associates, Inc

1.0 mi

Psychiatry

800 WASHINGTON ST, BOX 1013
Boston, MA 02111

Reassigned Medicare billing, Massachusetts enrollment
90 clinicians in this Medicare group

NPI 1245270875 (617) 636-5000

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

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.

MS. ROBERTA REICH L.M.H.C.

Counselor (Mental Health)