JASON MCCORMICK (NPI# 1588713820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103G00000X | Clinical Neuropsychologist | 8061 | MA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | BLUE CROSS PROVIDER # | W06384 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306048160 | Jason Wayne Mccormick | Psychiatry & Neurology | 1040 Sierra Dr, Suite 400, Greenwood, IN 46143-7240 | 2007-06-04 |
Street Address |
193 OAK ST SUITE 1 |
City | NEWTON |
State | MA |
Zip Code | 02464-1457 |
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 |
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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 Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
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] |
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 |
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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.