JASON MCCORMICK


Address: 193 Oak St, Suite 1, Newton, MA 02464-1457
Phone: 6176410900

JASON MCCORMICK (NPI# 1588713820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588713820
Entity Type Individual
Full Name JASON MCCORMICK
Credential PSY.D
Practice Address 193 Oak St
Suite 1
Newton
MA 02464-1457
Mailing Address 90 Bridge St
Newton
MA 02458-1119
Practice Telephone 6176410900
Practice Fax Number 6176410930
Mailing Telephone 6176589822
Mailing Fax Number 6176589801
Enumeration Date 2007-01-09
Last Update Date 2008-03-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist 8061 MA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MA BLUE CROSS PROVIDER # W06384 01

Other Providers JASON MCCORMICK

NPI Name Taxonomy Address Enumeration
1306048160 Jason Wayne Mccormick Psychiatry & Neurology 1040 Sierra Dr, Suite 400, Greenwood, IN 46143-7240 2007-06-04

Office Location

Street Address 193 OAK ST
SUITE 1
City NEWTON
State MA
Zip Code 02464-1457

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659428654 Rafael Castro Clinical Neuropsychologist 193 Oak St, Suite 1, Newton, MA 02464-1457 2007-01-04
1750982278 Gracendy Mesamours Behavior Technician 193 Oak St, Newton, MA 02464-1457 2020-11-02
1013527217 Morgan Elizabeth Burgess Behavioral Analyst 193 Oak St, Newton, MA 02464-1457 2020-08-03
1215545389 Christopher Vigliotta Behavior Technician 193 Oak St, Newton, MA 02464-1457 2020-07-15
1003431065 Hannah Bennett Behavior Technician 193 Oak St, Newton, MA 02464-1457 2020-06-15
1598303372 Megan Kelly Behavior Technician 193 Oak St, Newton, MA 02464-1457 2019-12-12
1033668157 Myrill Solaski Family Medicine 193 Oak St, Suite 1, Newton, MA 02464-1457 2016-09-30
1215389804 Sheera Hefter Psychologist 193 Oak St, Suite 1, Newton, MA 02464-1457 2016-07-07
1881068658 Leah Weinberg Psychologist 193 Oak St, Suite 1, Newton, MA 02464-1457 2015-11-17
1639552367 Rachel Grenier Behavioral Analyst 193 Oak St, Newton, MA 02464-1457 2015-06-30
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235799016 Vi Dang Pharmacist 1175 Chestnut St Unit 24, Newton Upper Falls, MA 02464 2019-06-14
1861056657 Freiberg- Dale Associates In Home Supportive Care 1254 Chestnut Street, 2nd Floor, Newton, MA 02464 2019-04-26
1770065633 Eriny Agban Counselor 223 Needham St, Newton, MA 02464 2018-09-06
1629507025 Marilyn Gamber Nurse Practitioner 141 Needham St Ste N205, Newton, MA 02464 2017-06-08
1275089880 Carole Calderon Social Worker 28 Richardson Road, Newton Upper Falls, MA 02464 2016-09-01
1952797011 Christine Maley Occupational Therapist 377 Elliot St Ste 110j, Newton Upper Falls, MA 02464 2015-04-15
1851780936 Katrina Maclean X Behavioral Analyst 109 Oak Street Suite G10, Newton, MA 02464 2015-01-13
1447555909 Sarah Russell Speech-Language Pathologist 43 River Ave, Newton Upper Falls, MA 02464 2011-01-14
1639328164 Sanita D'souza Audiologist 23 Mechanic Street, S R Associates, Newton, MA 02464 2008-09-09
1366581845 Julia Elizabeth French Chiropractor 383 Elliot St # F, Newton Upper Falls, MA 02464 2007-02-05
Find all providers in zip 02464

Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194365312 Erin Grace Kitchener Clinical Neuropsychologist 1 Wells Ave Fl 4, Newton, MA 02459-3211 2020-01-15
1053789230 Lisa Hahn Clinical Neuropsychologist 916 Maple Ave, Newton, NJ 07860-4404 2015-09-04
1609201672 Reva S. Tankle Clinical Neuropsychologist 55 Chapel St Ste 2, Newton, MA 02458-1060 2013-09-10
1285800730 Marlene Oscar Berman Clinical Neuropsychologist 115 Cotton St, Newton, MA 02458-2639 2008-05-05
1457545006 Nesca PC Clinical Neuropsychologist 90 Bridge St, Newton, MA 02458-1119 2007-08-28
1659428654 Rafael Castro Clinical Neuropsychologist 193 Oak St, Suite 1, Newton, MA 02464-1457 2007-01-04
1124180757 Barbara Florence Bruno Golden Clinical Neuropsychologist 151 Sargent St, Newton, MA 02458-2338 2006-12-13
1598848483 Elizabeth J. Baker Clinical Neuropsychologist 385 Waverley Ave, Newton, MA 02458-2720 2006-10-23
1255375655 Robert Anthony Caggiano Clinical Neuropsychologist 165 Neshobe Rd, Newton, MA 02468-1348 2006-06-15
1710977483 Nancy Hebben Clinical Neuropsychologist 275 Grove St, Bldg 2, Suite 400, Newton, MA 02466-2272 2005-10-25
Find all providers in NEWTON

Competitor

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City NEWTON
Zip Code 02464

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Dataset Information

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.

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