KIMBERLY TUCKER TREMBLAY
NPI 1952859647
Psychologist - Clinical in Needham Heights, MA

Active since September 12, 2016Opted out of Medicare · through Jan 28, 2027
687 HIGHLAND AVE STE 17, NEEDHAM HEIGHTS, MA 02494(800) 455-8726(781) 860-0589 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kimberly Tucker Tremblay NPPES

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

KIMBERLY TUCKER TREMBLAY (NPI 1952859647) is an individual clinical provider in Needham Heights, Massachusetts, licensed in Massachusetts (PSY10001159) and active in the NPI registry since September 2016. She has opted out of Medicare through January 28, 2027.

NPPES Registry Identity

NPI1952859647
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameKIMBERLY TUCKER TREMBLAY
Location Address687 HIGHLAND AVE STE 17Needham Heights, MA 02494-2232
Mailing Address1040 Waltham StLexington, MA 02421-8033 · (781) 761-5148 · Fax (781) 860-0589
Fax(781) 860-0589
Sole ProprietorNo
Enumeration DateSeptember 12, 2016
Last NPPES UpdateApril 29, 2025
NPPES CertifiedApril 29, 2025
NPI 1952859647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in MA · PSY10001159
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
687 HIGHLAND AVE STE 17, Needham Heights, MA 02494

Other Identifiers 7

Other1303287MA · Mbhp
Medicaid1303287MA
Other042611055MA · Tax Id
Other0000023532MA · Bmc
Other1004745MA · Nhp
Other99618201MA · Network Health
OtherM18633MA · Bcbs

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Kimberly Tucker Tremblay 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 January 28, 2025 through January 28, 2027.

Opt-Out Effective DateJanuary 28, 2025
Opt-Out In Effect ThroughJanuary 28, 2027Opt-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 Kimberly Tucker Tremblay's NPI number?

The NPI number for Kimberly Tucker Tremblay is 1952859647. It was assigned to this individual provider in the NPPES registry on September 12, 2016.

Where is Kimberly Tucker Tremblay located?

Kimberly Tucker Tremblay practices at 687 Highland Ave Ste 17, Needham Heights, MA 02494. The listed phone number is (800) 455-8726.

What is Kimberly Tucker Tremblay's specialty?

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

Is Kimberly Tucker Tremblay enrolled in Medicare?

No. Kimberly Tucker Tremblay has opted out of Medicare through January 28, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kimberly Tucker Tremblay was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.