Active NPIIndividual providerSole proprietor

Paul E Jansen, PHD

Psychologist, Clinical in Norwood, Massachusetts

NPI Number1215097548
Practice location
11 Vanderbilt Ave, Suite 240, Norwood, MA 02062-5056
Fax
781-784-2927
Last updated
May 2, 2012

Paul Edward Jansen is a Psychologist, Clinical based in Norwood, MA. Paul Edward Jansen practices in Norwood, MA and has the professional credentials of PHD. The NPI Number for Paul Edward Jansen is 1215097548 and holds a License No. 864 (MA). The current practice location address for Paul Edward Jansen is 11 Vanderbilt Ave, Suite 240, Norwood, MA 02062-5056 and can be reached out via phone at 781-769-5050 and via fax at 781-784-2927.

Provider Profile Details

NPI Number
1215097548
Provider Name
Paul Edward Jansen
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
11 Vanderbilt Ave, Suite 240, Norwood, MA 02062-5056
Phone Number
781-769-5050
Fax Number
781-784-2927
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
December 8, 2006
Last Update Date
May 2, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 Vanderbilt Ave
Suite 240
Norwood, MA 02062-5056
Zip
02062-5056
Phone Number
781-769-5050
Fax Number
781-784-2927
Norwood, MA 02062Get directions →

Provider Business Mailing Address Details

Address
95 Moose Hill Pkwy
Sharon, MA 02067-1730
City
Sharon
State
MA
Zip
02067-1730
Phone Number
781-784-1796
Fax Number
781-784-2927

License Information

License Number (1)
864
License State (1)
MA
Taxonomy (1)
Psychologist, Cognitive & Behavioral · 103TB0200X
License Number (2)
864
License State (2)
MA
Taxonomy (2)
Psychologist, Clinical · 103TC0700X · Primary
License Number (3)
864
License State (3)
MA
Taxonomy (3)
Psychologist, Family · 103TF0000X
License Number (4)
864
License State (4)
MA

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 Paul E Jansen, PHD?

The NPI number of Paul E Jansen, PHD is 1215097548. It was assigned on December 8, 2006 and is currently active in the NPPES registry.

What is the specialty of Paul E Jansen, PHD?

Paul E Jansen, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 864.

Where does Paul E Jansen, PHD practice?

The practice location is 11 Vanderbilt Ave, Suite 240, Norwood, MA 02062-5056. The office can be reached at 781-769-5050 (phone) or 781-784-2927 (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 1215097548 directly on the NPPES registry website.

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