DR. JENNIFER LEE MINOGUE MASTOVICH (NPI# 1538419882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538419882 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER LEE MINOGUE MASTOVICH |
| Other Name | JENNIFER MINOGUE |
| Credential | PSY.D. |
| Practice Address |
280 Union St Lynn MA 01901-1353 |
| Practice Telephone | 7815962502 |
| Mailing Telephone | 7815062502 |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2020-03-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
280 UNION ST |
| City | LYNN |
| State | MA |
| Zip Code | 01901-1353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740237304 | Willow Street Medical Lab LLC | Clinical Medical Laboratory | 280 Union St, Lynn, MA 01901-1353 | 2006-05-28 |
| 1467075614 | Henry Lou-goode | Registered Nurse | 280 Union St, Lynn, MA 01901-1353 | 2020-05-22 |
| 1386279271 | Ashley Winneberger | Registered Nurse | 280 Union St, Lynn, MA 01901-1353 | 2020-03-11 |
| 1841822897 | Jodi Lynne Amor | Registered Nurse | 280 Union St, Lynn, MA 01901-1353 | 2020-02-07 |
| 1275187676 | Welky Alexandra Galvis | Internal Medicine | 280 Union St, Lynn, MA 01901 | 2019-07-24 |
| 1093285405 | Bhoomi Utkal Patel | Registered Nurse | 280 Union St, Lynn, MA 01901-1353 | 2018-11-28 |
| 1770065807 | Christine Elizabeth Bowler | Nurse Practitioner | 280 Union St, Lynn, MA 01901-1353 | 2018-09-05 |
| 1235635657 | Morgan Mako | Nurse Practitioner | 280 Union St, Lynn, MA 01901-1353 | 2018-04-04 |
| 1164920450 | Christina Polsonetti | Case Manager/Care Coordinator | 280 Union St, Lynn, MA 01901-1353 | 2018-02-01 |
| 1861908642 | Jennifer Lee Calder | Registered Nurse | 280 Union St, Lynn, MA 01901-1353 | 2017-12-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427515923 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 173 Oxford Street, Lowel Level, Suite P, Lynn, MA 01901 | 2019-02-21 |
| 1730680125 | Sarah Sawulski | Registered Nurse | 269 Union Stree01901t, Lynn, MA 01901 | 2018-02-22 |
| 1184142895 | Adrienne Wood | Case Manager/Care Coordinator | 100 Willow Street, Lynn, MA 01901 | 2017-09-01 |
| 1831613199 | Marie Linda Yannaco-grant | Social Worker | 62 Market Street, Lynn, MA 01901 | 2017-07-28 |
| 1942723457 | Michael Xinyu Miao | Physical Therapy Assistant | 1 Market Street, 3rd Floor, Lynn, MA 01901 | 2017-07-18 |
| 1730544743 | Pediatric Dental Professionals LLC | Dentist | 391 Lynn Way, Bldg A, Lynn, MA 01901 | 2015-12-17 |
| 1346667748 | Emily G. Joseph | Social Worker | 112 Market Street, 2nd Floor, Lynn, MA 01901 | 2014-03-24 |
| 1548510621 | Serena M Smith | Counselor | 181 Union Street, Suite J, Lynn, MA 01901 | 2012-09-14 |
| 1043575624 | Timothy J Bossie | Optometrist | 20 Central Avenue, Lynn, MA 01901 | 2012-07-10 |
| 1689946923 | Lynn Dental Center | Dentist | 232 Union Street, Lynn, MA 01901 | 2012-02-02 |
| Find all providers in zip 01901 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982731485 | Diane G Hansen | Psychologist | 12 Chancery Ct, Ph9, Lynn, MA 01902-4248 | 2007-02-28 |
| 1760090476 | Alexandra Lorraine Vlahakes | Psychologist | 60 Granite St, Lynn, MA 01904-2915 | 2020-07-20 |
| 1811405491 | Alberto Luis Hernandez X | Psychologist | 269 Union St, Lynn, MA 01901-1314 | 2018-01-17 |
| 1497124846 | Oren Lee-parritz | Psychologist | 269 Union St, Lynn, MA 01901-1314 | 2015-09-16 |
| 1366847956 | Sejal Mahesh Patel | Psychologist | 20 Central Ave, Lynn, MA 01901-1201 | 2014-10-26 |
| 1144623471 | Sylvia Fitzpatrick | Psychologist | 20 Central Ave, Lynn, MA 01901-1201 | 2014-10-01 |
| 1568609865 | Stephen K. Valle | Psychologist | 181 N Common St, Lynn, MA 01905-2506 | 2009-01-08 |
| 1255576153 | Zachary Blumkin | Psychologist | 23 Central Ave, Lynn, MA 01901-1220 | 2008-12-05 |
| 1700039898 | Kelly F. Trusheim | Psychologist | 269 Union St, Behavioral Health - Blue Team, Lynn, MA 01901-1314 | 2008-11-03 |
| 1508038779 | Angela Forsberg Wilbur | Psychologist | 269 Union Street, Behavioral Health Dept, Lynn, MA 01901 | 2008-03-28 |
| Find all providers in LYNN | ||||
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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.