- Practice location
- 6 E Chestnut St, Augusta, ME 04330-5758
- Phone
- 207-623-2977
- Fax
- 207-623-9374
- Last updated
- October 28, 2025
Jennifer Blossom is a Psychologist, Clinical Child & Adolescent based in Augusta, ME. Jennifer Blossom practices in Augusta, ME and has the professional credentials of MS. The NPI Number for Jennifer Blossom is 1063947299 and holds a License No. PS2514 (ME). The current practice location address for Jennifer Blossom is 6 E Chestnut St, Augusta, ME 04330-5758 and can be reached out via phone at 207-623-2977 and via fax at 207-623-9374.
Provider Profile Details
- NPI Number
- 1063947299
- Provider Name
- Jennifer Blossom
- Credential
- MS
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 6 E Chestnut St, Augusta, ME 04330-5758
- Phone Number
- 207-623-2977
- Fax Number
- 207-623-9374
- Primary Taxonomy
- Psychologist, Clinical Child & Adolescent · 103TC2200X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 25, 2017
- Last Update Date
- October 28, 2025
- Certification Date
- October 28, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 6 E Chestnut St
Augusta, ME 04330-5758 - City
- Augusta
- State
- Maine
- Zip
- 04330-5758
- Phone Number
- 207-623-2977
- Fax Number
- 207-623-9374
Provider Business Mailing Address Details
- Address
- 6 E Chestnut St
Augusta, ME 04330-5758 - City
- Augusta
- State
- ME
- Zip
- 04330-5758
- Phone Number
- 207-623-2977
- Fax Number
- 207-623-9374
License Information
- License Number (1)
- PS2514
- License State (1)
- ME
- Taxonomy (1)
- Psychologist, Clinical Child & Adolescent · 103TC2200X · Primary
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Jennifer Blossom, MS?
The NPI number of Jennifer Blossom, MS is 1063947299. It was assigned on April 25, 2017 and is currently active in the NPPES registry.
What is the specialty of Jennifer Blossom, MS?
Jennifer Blossom, MS is registered under the primary taxonomy Psychologist, Clinical Child & Adolescent (code 103TC2200X), licensed in ME under license number PS2514.
Where does Jennifer Blossom, MS practice?
The practice location is 6 E Chestnut St, Augusta, ME 04330-5758. The office can be reached at 207-623-2977 (phone) or 207-623-9374 (fax).
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 1063947299 directly on the NPPES registry website.