Active NPIIndividual providerSole proprietor

Dr. Theodore Jasnos, PHD

Psychologist, Psychoanalysis in Gardner, Massachusetts

NPI Number1336203652
Practice location
31 Lake St, North Central Human Services, Gardner, MA 01440-3879
Fax
978-632-6425
Last updated
September 11, 2025

Theodore Jasnos is a Psychologist, Psychoanalysis based in Gardner, MA. Theodore Jasnos practices in Gardner, MA and has the professional credentials of PHD. The NPI Number for Theodore Jasnos is 1336203652 and holds a License No. 1805 (MA). The current practice location address for Theodore Jasnos is 31 Lake St, North Central Human Services, Gardner, MA 01440-3879 and can be reached out via phone at 978-632-9400 and via fax at 978-632-6425.

Provider Profile Details

NPI Number
1336203652
Provider Name
Theodore Jasnos
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
31 Lake St, North Central Human Services, Gardner, MA 01440-3879
Phone Number
978-632-9400
Fax Number
978-632-6425
Primary Taxonomy
Psychologist, Psychoanalysis · 103TP0814X
Sole Proprietor
Yes
Provider Enumeration Date
December 21, 2006
Last Update Date
September 11, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
31 Lake St
North Central Human Services
Gardner, MA 01440-3879
Zip
01440-3879
Phone Number
978-632-9400
Fax Number
978-632-6425
Gardner, MA 01440Get directions →

Provider Business Mailing Address Details

Address
7 Cedar St
Clinton, MA 01510-2206
City
Clinton
State
MA
Zip
01510-2206
Phone Number
978-365-2286

License Information

License Number (1)
1805
License State (1)
MA
Taxonomy (1)
Clinical Neuropsychologist · 103G00000X
License Number (2)
1805
License State (2)
MA
Taxonomy (2)
Psychologist, Clinical · 103TC0700X
License Number (3)
1805
License State (3)
MA
License Number (4)
1805
License State (4)
MA
Taxonomy (4)
Psychologist, Psychoanalysis · 103TP0814X · 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. Theodore Jasnos, PHD?

The NPI number of Dr. Theodore Jasnos, PHD is 1336203652. It was assigned on December 21, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Theodore Jasnos, PHD?

Dr. Theodore Jasnos, PHD is registered under the primary taxonomy Psychologist, Psychoanalysis (code 103TP0814X), licensed in MA under license number 1805.

Where does Dr. Theodore Jasnos, PHD practice?

The practice location is 31 Lake St, North Central Human Services, Gardner, MA 01440-3879. The office can be reached at 978-632-9400 (phone) or 978-632-6425 (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 1336203652 directly on the NPPES registry website.

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