Active NPIIndividual provider

Dr. Devlin A Jackson, PHD

Psychologist, Clinical in Boston, Massachusetts

NPI Number1053072397
Practice location
185 Devonshire St Ste 902, Boston, MA 02110-1413
Fax
—
Last updated
February 1, 2024

Devlin Amanda Jackson is a Psychologist, Clinical based in Boston, MA. Devlin Amanda Jackson practices in Boston, MA and has the professional credentials of PHD. The NPI Number for Devlin Amanda Jackson is 1053072397 and holds a License No. PSY10000038 (MA). The current practice location address for Devlin Amanda Jackson is 185 Devonshire St Ste 902, Boston, MA 02110-1413 and can be reached out via phone at 617-237-6278.

Provider Profile Details

NPI Number
1053072397
Provider Name
Devlin Amanda Jackson
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
185 Devonshire St Ste 902, Boston, MA 02110-1413
Phone Number
617-237-6278
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Provider Enumeration Date
January 9, 2022
Last Update Date
February 1, 2024
Certification Date
February 1, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
185 Devonshire St Ste 902
Boston, MA 02110-1413
City
Boston
Zip
02110-1413
Phone Number
617-237-6278
Boston, MA 02110Get directions →

Provider Business Mailing Address Details

Address
185 Devonshire St Ste 902
Boston, MA 02110-1413
City
Boston
State
MA
Zip
02110-1413
Phone Number
617-237-6278

License Information

License Number
PSY10000038
License State
MA
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Devlin A Jackson, PHD?

The NPI number of Dr. Devlin A Jackson, PHD is 1053072397. It was assigned on January 9, 2022 and is currently active in the NPPES registry.

What is the specialty of Dr. Devlin A Jackson, PHD?

Dr. Devlin A Jackson, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number PSY10000038.

Where does Dr. Devlin A Jackson, PHD practice?

The practice location is 185 Devonshire St Ste 902, Boston, MA 02110-1413. The office can be reached at 617-237-6278 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053072397 directly on the NPPES registry website.

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