KRISTEN WALSH MITCHELL ED.D.
NPI 1659390060
Psychologist - Clinical in Pepperell, MA

Active since July 18, 2006Opted out of Medicare · through Dec 1, 2026
111 MAIN ST, PEPPERELL, MA 01463(978) 433-8947 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kristen Walsh Mitchell Ed.d. NPPES

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

KRISTEN WALSH MITCHELL ED.D. (NPI 1659390060) is an individual clinical provider in Pepperell, Massachusetts, licensed in Massachusetts (6622) and active in the NPI registry since July 2006. She has opted out of Medicare through December 1, 2026.

NPPES Registry Identity

NPI1659390060
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameKRISTEN WALSH MITCHELLCredential: ED.D.
Location Address111 MAIN STPepperell, MA 01463-1533
Mailing Address10 Main StPepperell, MA 01463-1615 · (978) 433-8947
Sole ProprietorYes
Enumeration DateJuly 18, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1659390060 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 · 6622
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.
111 MAIN ST, Pepperell, MA 01463

Other Identifiers 1

Medicare ID-Type UnspecifiedMIW50040MA · Psychologist

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Kristen Walsh Mitchell Ed.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 1, 2022 through December 1, 2026.

Opt-Out Effective DateDecember 1, 2022
Opt-Out In Effect ThroughDecember 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

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 Kristen Mitchell's NPI number?

The NPI number for Kristen Mitchell is 1659390060. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Kristen Mitchell located?

Kristen Mitchell practices at 111 Main St, Pepperell, MA 01463. The listed phone number is (978) 433-8947.

What is Kristen Mitchell's specialty?

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

Is Kristen Mitchell enrolled in Medicare?

No. Kristen Mitchell has opted out of Medicare through December 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Kristen Mitchell accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Kristen Mitchell 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 Kristen Mitchell was last updated on July 8, 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.