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Dr. Jeffrey Fortgang, PHD
Clinical Psychologist in Newton, Massachusetts
NPI 1912914169

Jeffrey Fortgang is a Clinical Psychologist based in Newton, MA and is specialized in Clinical. Jeffrey Fortgang practices in Newton, MA and has the professional credentials of PHD. The NPI Number for Jeffrey Fortgang is 1912914169 and holds a License No. 1066 (Massachusetts).

The current practice location address for Jeffrey Fortgang is 50 Solon Street, Newton, MA and can be reached out via phone at 617-964-6822 and via fax at 617-964-6822.

Location: 50 Solon Street, Newton, MA, 02461-1827
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912914169
Provider Name
Jeffrey Fortgang
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
50 Solon Street, Newton, MA, 02461-1827
Phone Number
617-964-6822
Fax Number
617-964-6822
Provider Enumeration Date
08/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
W03000 01 MA BLUE CROSS BLUE SHIELD
4338079 01 AETNA
720563 01 TUFTS HEALTH PLAN
014616 01 VALUE OPTIONS
0526436 05 MA
151539 01 MAGELLAN
institution
Provider Business Practice Location Address Details
Address
50 Solon Street
City
Newton
State
Massachusetts
Zip
02461-1827
Phone Number
617-964-6822
Fax Number
617-964-6822
person
Provider Business Mailing Address Details
Address
50 Solon Street
City
Newton
State
Massachusetts
Zip
02461-1827
Phone Number
617-964-6822
Fax Number
617-964-6822
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
2822 (Massachusetts)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
1066 (Massachusetts)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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