Jaclyn G Mark, CRC
Psychologist, Rehabilitation in Chelsea, Massachusetts
1881806065- Practice location
- 301 Broadway, Chelsea, MA 02150
- Phone
- 617-488-5706
- Fax
- —
- Last updated
- July 8, 2007
Jaclyn Gildea Mark is a Psychologist, Rehabilitation based in Chelsea, MA. Jaclyn Gildea Mark practices in Chelsea, MA and has the professional credentials of CRC. The NPI Number for Jaclyn Gildea Mark is 1881806065 and holds a License No. 00098922 (MA). The current practice location address for Jaclyn Gildea Mark is 301 Broadway, Chelsea, MA 02150 and can be reached out via phone at 617-488-5706.
Provider Profile Details
- NPI Number
- 1881806065
- Provider Name
- Jaclyn Gildea Mark
- Credential
- CRC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 301 Broadway, Chelsea, MA 02150
- Phone Number
- 617-488-5706
- Primary Taxonomy
- Psychologist, Rehabilitation · 103TR0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 3, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 301 Broadway
Chelsea, MA 02150 - City
- Chelsea
- State
- Massachusetts
- Zip
- 02150
- Phone Number
- 617-488-5706
Provider Business Mailing Address Details
- Address
- 1381 Commonwealth Ave.
Allston, MA 02151 - City
- Allston
- State
- MA
- Zip
- 02151
- Phone Number
- 617-488-5706
License Information
- License Number
- 00098922
- License State
- MA
- Taxonomy
- Psychologist, Rehabilitation · 103TR0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Jaclyn G Mark, CRC?
The NPI number of Jaclyn G Mark, CRC is 1881806065. It was assigned on May 3, 2007 and is currently active in the NPPES registry.
What is the specialty of Jaclyn G Mark, CRC?
Jaclyn G Mark, CRC is registered under the primary taxonomy Psychologist, Rehabilitation (code 103TR0400X), licensed in MA under license number 00098922.
Where does Jaclyn G Mark, CRC practice?
The practice location is 301 Broadway, Chelsea, MA 02150. The office can be reached at 617-488-5706 (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 1881806065 directly on the NPPES registry website.