DR. KELLY MICHELLE WAWRZYNIAK PSYD
NPI 1780020990
Psychologist - Clinical in Waltham, MA
About Dr. Kelly Michelle Wawrzyniak Psyd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KELLY MICHELLE WAWRZYNIAK PSYD (NPI 1780020990) is an individual clinical provider in Waltham, Massachusetts, licensed in Massachusetts (9672) and active in the NPI registry since May 2013. She has opted out of Medicare through August 1, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
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.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Kelly Michelle Wawrzyniak Psyd 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 August 1, 2023 through August 1, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02451 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kelly Wawrzyniak's NPI number?
The NPI number for Kelly Wawrzyniak is 1780020990. It was assigned to this individual provider in the NPPES registry on May 14, 2013.
Where is Kelly Wawrzyniak located?
Kelly Wawrzyniak practices at 85 1st Ave, Waltham, MA 02451. The listed phone number is (781) 647-7246.
What is Kelly Wawrzyniak's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Kelly Wawrzyniak enrolled in Medicare?
No. Kelly Wawrzyniak has opted out of Medicare through August 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Kelly Wawrzyniak was last updated on May 14, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.
