Active NPIIndividual providerSole proprietor

Dr. Jason Alan, PSYD

Psychologist, Clinical in Worcester, Massachusetts

NPI Number1922742469
Practice location
100 Century Dr, Worcester, MA 01606-1244
Fax
—
Last updated
February 6, 2023

Dr. Jason Alan, PSYD is a Psychologist, Clinical based in Worcester, MA. Dr. Jason Alan, PSYD holds the professional credentials of PSYD. The NPI number for Dr. Jason Alan, PSYD is 1922742469 and holds license No. 11980 (MA). The current practice location address is 100 Century Dr, Worcester, MA 01606-1244 and the office can be reached by phone at 508-762-5400. The NPI was assigned on April 21, 2022 and the record was last updated in NPPES on February 6, 2023.

●Provider Profile Details

NPI Number
1922742469
Provider Name
Jason Alan
Credential
PSYD
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Enumeration Date
April 21, 2022
Last Update Date
February 6, 2023
Certification Date
February 6, 2023
NPI Status
Active

◉Business Practice Location Address

Address
100 Century Dr
Worcester, MA 01606-1244
ZIP
01606-1244
Country
US
Phone Number
508-762-5400

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✉Business Mailing Address

Address
Po Box 415348
Boston, MA 02241-5348
City
Boston
State
MA
ZIP
02241-5348
Phone Number
800-225-8885

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Psychologist, Clinical103TC0700XYes11980MA
Psychologist103T00000XNo——

#Other Provider Identifiers

No legacy or other 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. Jason Alan, PSYD?

The NPI number of Dr. Jason Alan, PSYD is 1922742469. It was assigned on April 21, 2022 and is currently active in the NPPES registry.

What is the specialty of Dr. Jason Alan, PSYD?

Dr. Jason Alan, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X) and holds license No. 11980 (MA).

Where does Dr. Jason Alan, PSYD practice?

The practice location is 100 Century Dr, Worcester, MA 01606-1244. The office can be reached at 508-762-5400 (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 1922742469 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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