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

NPI Status: Active since September 12, 2016

Contact Information

687 HIGHLAND AVE STE 17
NEEDHAM HEIGHTS, MA
ZIP 02494
Phone: (800) 455-8726
Fax: (781) 860-0589

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  • Individual
  • Female
  • Psychologist
  • Clinical
  • Opted-Out Medicare

About KIMBERLY TUCKER TREMBLAY

This page provides the complete NPI Profile along with additional information for Kimberly Tucker Tremblay, a provider established in Needham Heights, Massachusetts with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1952859647 assigned on September 2016. The practitioner's primary taxonomy code is 103TC0700X with license number PSY10001159 (MA). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1952859647
Provider Name
KIMBERLY TUCKER TREMBLAY
Gender
Female
Entity Type
Individual
Location Address
687 HIGHLAND AVE STE 17 NEEDHAM HEIGHTS, MA 02494
Location Phone
(800) 455-8726
Location Fax
(781) 860-0589
Mailing Address
1040 WALTHAM ST LEXINGTON, MA 02421
Mailing Phone
(781) 761-5148
Mailing Fax
(781) 860-0589
Is Sole Proprietor?
No
Enumeration Date
09-12-2016
Last Update Date
04-29-2025
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A clinical psychologist like Kimberly Tucker Tremblay assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Kimberly Tucker Tremblay opted out of Medicare effective on 01-28-2025 until 01-28-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
License No.
PSY10001159
License State
MA
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1303287OTHER (01)MAMBHP
1303287MEDICAID (05)MA 
042611055OTHER (01)MATAX ID
0000023532OTHER (01)MABMC
1004745OTHER (01)MANHP
99618201OTHER (01)MANETWORK HEALTH
M18633OTHER (01)MABCBS

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 01-28-2025

  • Opt-Out End Date: 01-28-2027

  • Eligible to Order and Refer? No

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1952859647, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
2
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
5
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
6
Unchanged
Pos 9
4
Doubled → 8
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 8 → 16 → 7 9 → 18 → 9 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 0 + 2 + 1 + 6 + 5 + 1 + 8 + 6 + 8 + 24 = 73

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 73 is 80. The difference is the calculated check digit.

80 - 73 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1952859647.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Community/Behavioral Health
687 HIGHLAND AVE STE 17
NEEDHAM, MA 02494

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952859647, enumerated as an "individual" on September 12, 2016.

The provider is located at 687 HIGHLAND AVE STE 17 NEEDHAM HEIGHTS, MA 02494 and the phone number is (800) 455-8726.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.