Active NPIIndividual provider

Dr. Jamie A Micco, PHD

Psychologist, Clinical in Concord, Massachusetts

NPI Number1083816805
Practice location
747 Main St, Suite 119, Concord, MA 01742-3302
Fax
—
Last updated
September 1, 2020

Jamie A. Micco is a Psychologist, Clinical based in Concord, MA. Jamie A. Micco practices in Concord, MA and has the professional credentials of PHD. The NPI Number for Jamie A. Micco is 1083816805 and holds a License No. 8826 (MA). The current practice location address for Jamie A. Micco is 747 Main St, Suite 119, Concord, MA 01742-3302 and can be reached out via phone at 978-505-6684.

Provider Profile Details

NPI Number
1083816805
Provider Name
Jamie A. Micco
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
747 Main St, Suite 119, Concord, MA 01742-3302
Phone Number
978-505-6684
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Provider Enumeration Date
June 4, 2007
Last Update Date
September 1, 2020
Certification Date
September 1, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
747 Main St
Suite 119
Concord, MA 01742-3302
Zip
01742-3302
Phone Number
978-505-6684
Concord, MA 01742Get directions →

Provider Business Mailing Address Details

Address
747 Main St Ste 324
Concord, MA 01742-3329
City
Concord
State
MA
Zip
01742-3329
Phone Number
978-405-2544

License Information

License Number
8826
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. Jamie A Micco, PHD?

The NPI number of Dr. Jamie A Micco, PHD is 1083816805. It was assigned on June 4, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Jamie A Micco, PHD?

Dr. Jamie A Micco, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 8826.

Where does Dr. Jamie A Micco, PHD practice?

The practice location is 747 Main St, Suite 119, Concord, MA 01742-3302. The office can be reached at 978-505-6684 (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 1083816805 directly on the NPPES registry website.

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