Active NPIIndividual providerSole proprietor

Dr. Charmain F Jackman, PHD

Psychologist in Watertown, Massachusetts

NPI Number1619958402
Practice location
124 Watertown St Ste 3A, Watertown, MA 02472-2599
Fax
—
Last updated
June 11, 2019

Charmain Fiona Jackman is a Psychologist based in Watertown, MA. Charmain Fiona Jackman practices in Watertown, MA and has the professional credentials of PHD. The NPI Number for Charmain Fiona Jackman is 1619958402 and holds a License No. 8159 (MA). The current practice location address for Charmain Fiona Jackman is 124 Watertown St Ste 3A, Watertown, MA 02472-2599 and can be reached out via phone at 617-803-2417.

Provider Profile Details

NPI Number
1619958402
Provider Name
Charmain Fiona Jackman
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
124 Watertown St Ste 3A, Watertown, MA 02472-2599
Phone Number
617-803-2417
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
Yes
Provider Enumeration Date
November 8, 2005
Last Update Date
June 11, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
124 Watertown St Ste 3A
Watertown, MA 02472-2599
Zip
02472-2599
Phone Number
617-803-2417
Watertown, MA 02472Get directions →

Provider Business Mailing Address Details

Address
Po Box 894
Watertown, MA 02471-0894
City
Watertown
State
MA
Zip
02471-0894
Phone Number
617-803-2417

License Information

Taxonomy (1)
Psychologist, Forensic · 103TF0200X
License Number (2)
8159
License State (2)
MA
Taxonomy (2)
Psychologist · 103T00000X · 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. Charmain F Jackman, PHD?

The NPI number of Dr. Charmain F Jackman, PHD is 1619958402. It was assigned on November 8, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Charmain F Jackman, PHD?

Dr. Charmain F Jackman, PHD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in MA under license number 8159.

Where does Dr. Charmain F Jackman, PHD practice?

The practice location is 124 Watertown St Ste 3A, Watertown, MA 02472-2599. The office can be reached at 617-803-2417 (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 1619958402 directly on the NPPES registry website.

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