Active NPIIndividual providerSole proprietor

Dr. Kerrie Jongeneelen, PSYD

Psychologist, Clinical Child & Adolescent in Lexington, Massachusetts

NPI Number1093966624
Practice location
19 Muzzey St Ste 202A, Lexington, MA 02421-5211
Fax
—
Last updated
February 5, 2020

Kerrie Jongeneelen is a Psychologist, Clinical Child & Adolescent based in Lexington, MA. Kerrie Jongeneelen practices in Lexington, MA and has the professional credentials of PSYD. The NPI Number for Kerrie Jongeneelen is 1093966624 and holds a License No. 10646 (MA). The current practice location address for Kerrie Jongeneelen is 19 Muzzey St Ste 202A, Lexington, MA 02421-5211 and can be reached out via phone at 617-372-5653.

Provider Profile Details

NPI Number
1093966624
Provider Name
Kerrie Jongeneelen
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
19 Muzzey St Ste 202A, Lexington, MA 02421-5211
Phone Number
617-372-5653
Primary Taxonomy
Psychologist, Clinical Child & Adolescent · 103TC2200X
Sole Proprietor
Yes
Provider Enumeration Date
October 1, 2008
Last Update Date
February 5, 2020
Certification Date
February 5, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
19 Muzzey St Ste 202A
Lexington, MA 02421-5211
Zip
02421-5211
Phone Number
617-372-5653
Lexington, MA 02421Get directions →

Provider Business Mailing Address Details

Address
19 Muzzey St Ste 202A
Lexington, MA 02421-5211
City
Lexington
State
MA
Zip
02421-5211
Phone Number
617-372-5653

License Information

License Number
10646
License State
MA
Taxonomy
Psychologist, Clinical Child & Adolescent · 103TC2200X · 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. Kerrie Jongeneelen, PSYD?

The NPI number of Dr. Kerrie Jongeneelen, PSYD is 1093966624. It was assigned on October 1, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Kerrie Jongeneelen, PSYD?

Dr. Kerrie Jongeneelen, PSYD is registered under the primary taxonomy Psychologist, Clinical Child & Adolescent (code 103TC2200X), licensed in MA under license number 10646.

Where does Dr. Kerrie Jongeneelen, PSYD practice?

The practice location is 19 Muzzey St Ste 202A, Lexington, MA 02421-5211. The office can be reached at 617-372-5653 (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 1093966624 directly on the NPPES registry website.

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