ACT NEURODEVELOPMENTAL SERVICES, PLLC — NPI 1497585095 (Licensed & Credentialed Clinical Neuropsychologist in WESTWOOD, MA)

CMS-1500 Box 24J / 33a • NPI

1497585095

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

103G00000X

Licensed & Credentialed Clinical Neuropsychologist

Box 32 Service Location & ZIP+4

745 HIGH ST STE 205, WESTWOOD, MA, 02090-2531

✓ 9-Digit EDI 837 ZIP+4 (02090-2531)

Practice Phone & Referral Fax

(781) 654-8112

Fax: (781) 654-8121

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1497585095 (ACT NEURODEVELOPMENTAL SERVICES, PLLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1497585095` (NPI-2 Organization / Facility)
Provider / Legal Name	ACT NEURODEVELOPMENTAL SERVICES, PLLC
Plain-English Specialty	Licensed & Credentialed Clinical Neuropsychologist NUCC Code: `103G00000X` (Clinical Neuropsychologist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	745 HIGH ST STE 205, WESTWOOD, MA, 02090-2531
Practice Telephone / Fax	Tel: (781) 654-8112 \| Fax: (781) 654-8121
Administrative Mailing Address	47 MANSFIELD ST, SHARON, MA, 02067-3101
Enumeration & Last Sync	Enumerated: 2024-08-07 \| CMS Record Updated: 2024-08-07
Authorized Official	MEREDITH AMAYA-HODGES (Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

745 HIGH ST STE 205, WESTWOOD, MA, 02090-2531

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Plain-English Taxonomy & CMS Crosswalk (103G00000X)

What Does Taxonomy Code 103G00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103G00000X translates to:
"Licensed & Credentialed Clinical Neuropsychologist"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Clinical Neuropsychologist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ACT NEURODEVELOPMENTAL SERVICES, PLLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`103G00000X` — Clinical Neuropsychologist Plain English: Licensed & Credentialed Clinical Neuropsychologist	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ACT NEURODEVELOPMENTAL SERVICES, PLLC (NPI #1497585095)