Active NPIIndividual provider

Jillian Goodrich, CAGS

Psychologist, School in Boxborough, Massachusetts

NPI Number1154976264
Practice location
629 Massachusetts Ave Ste 201, Boxborough, MA 01719-1528
Fax
—
Last updated
August 6, 2019

Jillian Goodrich is a Psychologist, School based in Boxborough, MA. Jillian Goodrich practices in Boxborough, MA and has the professional credentials of CAGS. The NPI Number for Jillian Goodrich is 1154976264 and holds a License No. 477840 (MA). The current practice location address for Jillian Goodrich is 629 Massachusetts Ave Ste 201, Boxborough, MA 01719-1528 and can be reached out via phone at 978-501-6813.

Provider Profile Details

NPI Number
1154976264
Provider Name
Jillian Goodrich
Credential
CAGS
Provider Entity Type
Individual
Gender
Female
Address
629 Massachusetts Ave Ste 201, Boxborough, MA 01719-1528
Phone Number
978-501-6813
Primary Taxonomy
Psychologist, School · 103TS0200X
Sole Proprietor
No
Provider Enumeration Date
August 6, 2019
Last Update Date
August 6, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
629 Massachusetts Ave Ste 201
Boxborough, MA 01719-1528
Zip
01719-1528
Phone Number
978-501-6813
Boxborough, MA 01719Get directions →

Provider Business Mailing Address Details

Address
629 Massachusetts Ave Ste 201
Boxborough, MA 01719-1528
City
Boxborough
State
MA
Zip
01719-1528
Phone Number
978-501-6813

License Information

License Number
477840
License State
MA
Taxonomy
Psychologist, School · 103TS0200X · 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 Jillian Goodrich, CAGS?

The NPI number of Jillian Goodrich, CAGS is 1154976264. It was assigned on August 6, 2019 and is currently active in the NPPES registry.

What is the specialty of Jillian Goodrich, CAGS?

Jillian Goodrich, CAGS is registered under the primary taxonomy Psychologist, School (code 103TS0200X), licensed in MA under license number 477840.

Where does Jillian Goodrich, CAGS practice?

The practice location is 629 Massachusetts Ave Ste 201, Boxborough, MA 01719-1528. The office can be reached at 978-501-6813 (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 1154976264 directly on the NPPES registry website.

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