Dr Laurie Cestnick, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Sudbury, Massachusetts. Her current practice location is
144 North Rd Ste 1225, Sudbury, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(617) 413-2065.
Dr Laurie Cestnick is licensed to practice in Massachusetts (license number 10000649) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1588137343.
Healthcare Provider's Profile
| Full Name | Dr Laurie Cestnick |
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| Gender | Female |
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| Speciality | Clinical Neuropsychologist |
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| Location | 144 North Rd Ste 1225, Sudbury, Massachusetts |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1588137343
- Provider Enumeration Date: 01/04/2019
- Last Update Date: 10/20/2025
Medicare PECOS Information:
- PECOS PAC ID: 5597295428
- Enrollment ID: I20250207001028
Medical Identifiers
Medical identifiers for Dr Laurie Cestnick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588137343 | NPI | - | NPPES |
| 10000649 | Medicaid | MA | |
| 4646 | Other | CT | PSYCHOLOGIST LICENSE |
| 10000649 | Other | MA | PSYCHOLOGIST LICENSE |
| 004626 | Medicaid | CT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 10000649 (Massachusetts) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 10000649 (Massachusetts) | Primary |
| 103T00000X | Psychologist | 4646 (Connecticut) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | 3083 (Massachusetts) | Secondary |
| 103T00000X | Psychologist | 10000649 (Massachusetts) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Laurie Cestnick is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Laurie Cestnick, PHD
144 North Rd Ste 1225,
Sudbury, MA 01776-1164
Ph: () - | Dr Laurie Cestnick, PHD
144 North Rd Ste 1225,
Sudbury, MA 01776-1164
Ph: (617) 413-2065 |
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