Active NPIIndividual providerSole proprietor

Dr. Jacqueline Bullis, PHD

Psychologist in Belmont, Massachusetts

NPI Number1326647520
Practice location
115 Mill St, Belmont, MA 02478-1048
Fax
—
Last updated
October 20, 2020

Jacqueline Bullis is a Psychologist based in Belmont, MA. Jacqueline Bullis practices in Belmont, MA and has the professional credentials of PHD. The NPI Number for Jacqueline Bullis is 1326647520 and holds a License No. 11298 (MA). The current practice location address for Jacqueline Bullis is 115 Mill St, Belmont, MA 02478-1048 and can be reached out via phone at 617-855-3518.

Provider Profile Details

NPI Number
1326647520
Provider Name
Jacqueline Bullis
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
115 Mill St, Belmont, MA 02478-1048
Phone Number
617-855-3518
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 20, 2020
Last Update Date
October 20, 2020
Certification Date
October 20, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
115 Mill St
Belmont, MA 02478-1048
Zip
02478-1048
Phone Number
617-855-3518
Belmont, MA 02478Get directions →

Provider Business Mailing Address Details

Address
90 Waltham St Apt 3
Boston, MA 02118-3693
City
Boston
State
MA
Zip
02118-3693
Phone Number
401-378-3253

License Information

License Number
11298
License State
MA
Taxonomy
Psychologist · 103T00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Psychologists near Belmont, MA

View all Psychologists in Belmont →

Frequently Asked Questions

What is the NPI number of Dr. Jacqueline Bullis, PHD?

The NPI number of Dr. Jacqueline Bullis, PHD is 1326647520. It was assigned on October 20, 2020 and is currently active in the NPPES registry.

What is the specialty of Dr. Jacqueline Bullis, PHD?

Dr. Jacqueline Bullis, PHD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in MA under license number 11298.

Where does Dr. Jacqueline Bullis, PHD practice?

The practice location is 115 Mill St, Belmont, MA 02478-1048. The office can be reached at 617-855-3518 (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 1326647520 directly on the NPPES registry website.

Browse related providers