WALPOLE BEHAVIORAL HEALTHCARE
NPI 1881978971
Psychologist - Clinical in Walpole, MA

Active since October 06, 2011
841 MAIN ST LL2, WALPOLE, MA 02081(508) 668-6053(508) 422-7297 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Walpole Behavioral Healthcare NPPES

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

WALPOLE BEHAVIORAL HEALTHCARE (NPI 1881978971) is a healthcare organization registered as a clinical in Walpole, Massachusetts and active in the NPI registry since October 2011. The organization lists Frederick Paul Horan, Director, as its authorized official.

NPPES Registry Identity

NPI1881978971
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameWALPOLE BEHAVIORAL HEALTHCARE
Location Address841 MAIN ST LL2Walpole, MA 02081-2997
Mailing Address10 Common St Unit 64Walpole, MA 02081-9203 · (508) 668-6053 · Fax (508) 422-7297
Fax(508) 422-7297
Organization SubpartNo
Authorized OfficialFrederick Paul HoranDirector · (508) 668-6053
Enumeration DateOctober 6, 2011
Last NPPES UpdateJanuary 6, 2022
NPPES CertifiedDecember 5, 2021
✔ NPI 1881978971 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 · 4743
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.
841 MAIN ST LL2, Walpole, MA 02081

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Walpole Behavioral Healthcare is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMassachusettsEnrollment IDO20111216000473Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Walpole Behavioral Healthcare, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Clinical Social Worker
NPI 1295710549
841 MAIN STREET, LL2 COLONY CARE BEHAVIORAL HEALTH
Walpole, MA 02081
(508) 660-6699
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1558345611
55 WEST ST STE 201
Walpole, MA 02081
(508) 668-6053
✔ PECOS✔ Accepts Medicare0.4 mi

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

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 Walpole Behavioral Healthcare's NPI number?

The NPI number for Walpole Behavioral Healthcare is 1881978971. It was assigned to this organization in the NPPES registry on October 6, 2011.

Where is Walpole Behavioral Healthcare located?

Walpole Behavioral Healthcare is located at 841 Main St Ll2, Walpole, MA 02081. The listed phone number is (508) 668-6053.

What is Walpole Behavioral Healthcare's specialty?

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

Is Walpole Behavioral Healthcare enrolled in Medicare?

Yes. Walpole Behavioral Healthcare is registered in the Medicare PECOS enrollment system.

When is Walpole Behavioral Healthcare's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Massachusetts, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Walpole Behavioral Healthcare?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Walpole Behavioral Healthcare, in Clinical Psychologist and Clinical Social Worker. A 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 the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Walpole Behavioral Healthcare was last updated on January 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.