Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kevin Mazzola, PHD

Individual provider Clinical Psychologist · NPI 1215758727

Kevin Mazzola, PHD is a Clinical Psychologist in Concord, Massachusetts. Qualified in 2022, 4 years ago. Practices with Child and Family Psychological Services PLLC, a 255-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
4
Licensed in
MA
In the registry since
2024
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

30 Monument Sq Ste 150
Concord, MA 01742-1858
Phone: (617) 661-1100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 169 Libbey Pkwy, Weymouth, MA 02189-3189 — (508) 238-7766

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY10000169 (MA)

Record details

NPI number1215758727
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedOctober 18, 2024
Last updated in NPPESNovember 27, 2024
Certification dateNovember 27, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Child And Family Psychological Services Pllc — 255 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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