MR. JEB THOMAS FOWLER (NPI# 1023244852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023244852 |
| Entity Type | Individual |
| Full Name | MR. JEB THOMAS FOWLER |
| Credential | PH.D. |
| Practice Address |
1 Arnold Cir Ste 7 Cambridge MA 02139-2250 |
| Mailing Address |
21 Bartlett Cres # 1 Brookline MA 02446-2208 |
| Practice Telephone | 6174449513 |
| Mailing Telephone | 6174449513 |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2015-12-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC1900X |
Psychologist Specialization: Counseling |
10122 | MA | Behavioral Health & Social Service Providers |
| Y | 103TP0814X |
Psychologist Specialization: Psychoanalysis |
10122 | MA | Behavioral Health & Social Service Providers |
| N | 102L00000X | Psychoanalyst | 10122 | MA | Behavioral Health & Social Service Providers |
| Street Address |
1 ARNOLD CIR STE 7 |
| City | CAMBRIDGE |
| State | MA |
| Zip Code | 02139-2250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598316044 | Diane Greenleaf | Registered Nurse | Cha Windsor Clinic, 119 Windsor St, Cambridge, MA 02139 | 2019-09-26 |
| 1730738345 | Martin Bednar | Student in an Organized Health Care Education/Training Program | 350 Massachusetts Avenue, Cambridge, MA 02139 | 2019-09-06 |
| 1861050049 | Rebecca Marie Addison | Dietitian, Registered | 75 Auburn St, Cambridge, MA 02139 | 2019-06-03 |
| 1285103051 | Jenna Halloran | Social Worker | 929 Massaschusetts Ave, Cambridge, MA 02139 | 2018-11-21 |
| 1750859286 | Lisa Marie Keovongsa | Dietitian, Registered | 186 1/2 Hampshire St., Cambridge, MA 02139 | 2018-11-02 |
| 1245714237 | Eleanor Coffin | Occupational Therapist | 1483 Cambridge St, Cambridge, MA 02139 | 2018-09-17 |
| 1649758277 | Sariya Idriss | Social Worker | Cambridge Health Alliance, 1493 Cambridge St., Cambridge, MA 02139 | 2018-08-06 |
| 1538647151 | Ari Pehkonen | Social Worker | Cambridge Health Alliance, Cambridge Hospital, 1493 Cambridge St., Cambridge, MA 02139 | 2018-08-06 |
| 1972080893 | Esther Cazeau | Counselor | 237 Hampshire St., Cambridge, MA 02139 | 2018-07-24 |
| 1528596533 | Adam Liebling | Acupuncturist | 11 Fiske Pl., Cambridge, MA 02139 | 2017-06-03 |
| Find all providers in zip 02139 | ||||
| Taxonomy Code | 103TP0814X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Psychoanalysis |
| (1) A practitioner of psychoanalysis: methods of eliciting from patients their past emotional experiences and their role in influencing their current mental life, in order to discover the conflicts and mechanisms by which their pathologic mental state has been produced and to furnish hints for psychotherapeutic procedures, the method employs free association, recall and interpretation of dreams and interpretation of transference and resistance phenomena; (2) An individual who is educated with a doctor’s degree in psychoanalysis or psychology, trained at an established psychoanalytic institute, and practices or adheres to the principles of psychoanalysis. Psychoanalysis is a form of psychotherapy and a system of investigation for determining and understanding mental processes, which was originally conceived by Sigmund Freud. Psychoanalysis involves the analysis and interpretation of dreams, resistances, and transferences, and uses free association and catharsis. Clinical practice requires licensure. |
| Notes: Sources: (1) Dorlands Illustrated Medical Dictionary, 28th Edition, W.B. Saunders Company: Philadelphia, 1994, p. 1382; (2)American Psychological Association, Washington, DC, 1997, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245720770 | Martha Dickey Brown | Psychologist | 11 Garden Ter, Cambridge, MA 02138-1419 | 2018-05-10 |
| 1700091972 | Michael Vincent Miller | Psychologist | 14a Eliot St, Third Floor, Cambridge, MA 02138-5706 | 2007-05-11 |
| 1295851947 | Steven Varga Golovcsenko | Psychologist | 875 Massachusetts Avenue, Suite 35, Cambridge, MA 02139-3070 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720133655 | Walter Eugene Goldwater | Psychologist | 108 Russel St, Hadlen, MA 01035-9546 | 2007-01-23 |
| 1245333822 | Rachel Sipzener | Psychologist | 250 Copeland St, Quincy, MA 02169 | 2006-09-07 |
| 1831200609 | David Lotto | Psychologist | 232 1st St, Pittsfield, MA 01201-4749 | 2006-08-31 |
| 1760532931 | Benjamin Briggs Kilborne | Psychologist | 5 Lenox Road, West Stockbridge, MA 01266-0491 | 2007-01-11 |
| 1306994520 | Don Charles Wukasch | Psychologist | 92 Main St, Suite 202, Florence, MA 01062-1499 | 2007-01-05 |
| 1578670881 | Baldpate Psychiatric Associates | Psychologist | 83 Baldpate Rd, Georgetown, MA 01833 | 2006-08-23 |
| 1760492128 | Mary R San Martino | Psychologist | 1170 Beacon St, Brookline, MA 02446 | 2006-08-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.