Active NPIIndividual providerSole proprietor

Dr. Jessica R Everett, PHD, BCBA-D, LABA

Psychologist, Clinical in Scituate, Massachusetts

NPI Number1922305093
Practice location
10 New Driftway Ste 302, Scituate, MA 02066-4546
Fax
—
Last updated
November 10, 2024

Jessica R Everett is a Psychologist, Clinical based in Scituate, MA. Jessica R Everett practices in Scituate, MA and has the professional credentials of PHD, BCBA-D, LABA. The NPI Number for Jessica R Everett is 1922305093 and holds a License No. 1-07-3780 (MA). The current practice location address for Jessica R Everett is 10 New Driftway Ste 302, Scituate, MA 02066-4546 and can be reached out via phone at 781-738-4886.

Provider Profile Details

NPI Number
1922305093
Provider Name
Jessica R Everett
Credential
PHD, BCBA-D, LABA
Provider Entity Type
Individual
Gender
Female
Address
10 New Driftway Ste 302, Scituate, MA 02066-4546
Phone Number
781-738-4886
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
February 24, 2011
Last Update Date
November 10, 2024
Certification Date
November 10, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 New Driftway Ste 302
Scituate, MA 02066-4546
Zip
02066-4546
Phone Number
781-738-4886
Scituate, MA 02066Get directions →

Provider Business Mailing Address Details

Address
278 Clapp RD
Scituate, MA 02066-3015
City
Scituate
State
MA
Zip
02066-3015
Phone Number
781-738-4886

License Information

License Number (1)
1-07-3780
License State (1)
MA
Taxonomy (1)
Behavior Analyst · 103K00000X
License Number (2)
9026
License State (2)
MA
Taxonomy (2)
Psychologist · 103T00000X
License Number (3)
9026
License State (3)
MA
License Number (4)
9026
License State (4)
MA
Taxonomy (4)
Psychologist, Clinical · 103TC0700X · 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. Jessica R Everett, PHD, BCBA-D, LABA?

The NPI number of Dr. Jessica R Everett, PHD, BCBA-D, LABA is 1922305093. It was assigned on February 24, 2011 and is currently active in the NPPES registry.

What is the specialty of Dr. Jessica R Everett, PHD, BCBA-D, LABA?

Dr. Jessica R Everett, PHD, BCBA-D, LABA is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 1-07-3780.

Where does Dr. Jessica R Everett, PHD, BCBA-D, LABA practice?

The practice location is 10 New Driftway Ste 302, Scituate, MA 02066-4546. The office can be reached at 781-738-4886 (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 1922305093 directly on the NPPES registry website.

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