JACOB FORD PERRY (NPI# 1144855818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144855818 |
Entity Type | Individual |
Full Name | JACOB FORD PERRY |
Practice Address |
12 Southern Ave Dorchester MA 02124-2012 |
Mailing Address |
2138 Commonwealth Ave Auburndale MA 02466-1903 |
Practice Telephone | 6177080870 |
Mailing Telephone | 9176997954 |
Enumeration Date | 2020-03-03 |
Last Update Date | 2020-03-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346722709 | Jacob Perry | Physical Therapy Assistant | 210 N 15th St, Olean, NY 14706 | 2018-09-02 |
1801406129 | Jacob Perry | Dentist | 10 Riverwood Dr Ste A, Crestview, FL 32536-5017 | 2020-08-01 |
1609210095 | Jacob Perry | Anesthesiology | 1402 S Grand Blvd, M260, Saint Louis, MO 63104-1004 | 2013-04-29 |
1013274257 | Jacob Perry | Counselor | 1312 Sw Washington St, Portland, OR 97205-2327 | 2012-04-12 |
1922326610 | Jacob Hugh Perry | Physician Assistant | 1001 S Perry St, Suite 101b, Castle Rock, CO 80104-2668 | 2010-05-06 |
1063663284 | Jacob E Perry | Surgery | 425 Clinic Dr, Morehead, KY 40351-1077 | 2008-10-07 |
Street Address |
12 SOUTHERN AVE |
City | DORCHESTER |
State | MA |
Zip Code | 02124-2012 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851692370 | Lakisha R Austin | Social Worker | 12 Southern Ave, Dorchester, MA 02124 | 2010-11-15 |
1184233652 | Phillip Reason | Student in an Organized Health Care Education/Training Program | 12 Southern Ave, Dorchester, MA 02124-2012 | 2020-07-30 |
1912532383 | Matthew Flynn | Student in an Organized Health Care Education/Training Program | 12 Southern Ave, Dorchester, MA 02124-2012 | 2020-03-06 |
1902431455 | Ashley Wilfand | Counselor | 12 Southern Ave, Dorchester, MA 02124-2012 | 2020-03-05 |
1134754617 | Lily Decky | Student in an Organized Health Care Education/Training Program | 12 Southern Ave, Dorchester, MA 02124-2012 | 2020-03-05 |
1346875762 | Mathieu Mcneil | Social Worker | 12 Southern Ave, Dorchester, MA 02124-2012 | 2020-03-05 |
1033744578 | Meredith White-goode | Student in an Organized Health Care Education/Training Program | 12 Southern Ave, Dorchester, MA 02124-2012 | 2020-03-05 |
1447885017 | Emmanuel Nigel Omere | Case Manager/Care Coordinator | 12 Southern Ave, Dorchester, MA 02124-2012 | 2020-03-04 |
1265067896 | Alain Davis | Case Manager/Care Coordinator | 12 Southern Ave, Dorchester, MA 02124-2012 | 2020-03-04 |
1770054751 | Cori Jamal Williams | Social Worker | 12 Southern Ave, Dorchester, MA 02124-2012 | 2018-12-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679109599 | Yolanda Barner | Behavioral Analyst | 241 Norfolk St, Dorchester, MA 02124 | 2020-03-23 |
1144878489 | Marissa Sneed | Case Manager/Care Coordinator | 1059 Tremont St Suit 2, Roxbury Crossing, ME 02124 | 2019-08-29 |
1407413487 | Adrian Velasquez Md LLC | Internal Medicine | 2110 Dorchester Ave Ste 205, Seton Building, Dorchester, MA 02124 | 2019-05-24 |
1164908794 | Genesis 365 Care LLC | Home Health Aide | 114 Fuller St # 1, Dorchester, MA 02124 | 2018-07-17 |
1821581422 | Prince Nwaford | Psychologist | 176 Harvard Street, 2, Boston, MA 02124 | 2018-06-08 |
1073026753 | Massachusetts Chiropractic Center LLC | Chiropractor | 879-881 Blue Hill Avenue, Dorchester, MA 02124 | 2017-11-16 |
1770096620 | Aly Tran | Behavior Technician | 232 Centre St, Dorchester, MA 02124 | 2017-11-14 |
1326564386 | Mildred R Gomez | Community Health Worker | 108 Norfolk St, Dorchester, MA 02124 | 2017-08-21 |
1871025585 | Dwight Dorcy | Assistant Behavior Analyst | 7 Samoset St # 3, Dorchester, MA 02124 | 2017-03-31 |
1346793452 | Jennie Lee | Nurse Practitioner | 425 Harvard St, Dorchester, MA 02124 | 2016-07-26 |
Find all providers in zip 02124 |
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 |
---|---|---|---|---|
1871701003 | Loretta Butehorn | Psychologist | 345 Neponset Ave, Dorchester, MA 02122-3103 | 2007-05-20 |
1174681985 | Sandra L Ehlinger | Psychologist | 510 Washington St, Dorchester District Court Clinic, Dorchester, MA 02124-2046 | 2006-12-05 |
1770720724 | Melissa Rideout | Psychologist | 100 Morrissey Blvd, Umass Boston University Health Services, Dorchester, MA 02125-3300 | 2009-01-13 |
1104910918 | Elana B. Steinberg | Psychologist | 500 Columbia Rd, Dorchester, MA 02125-2322 | 2006-10-03 |
1932139011 | Joanne Tuller | Psychologist | 398 Neponset Ave, Neponset Health Center, Dorchester, MA 02122 | 2006-07-04 |
1912987801 | Mark Ronald Bleier | Psychologist | 398 Neponset Ave, Dorchester, MA 02122 | 2006-01-18 |
1184601270 | Celeste Derecho | Psychologist | 398 Neponset Ave, Dorchester, MA 02122-3134 | 2005-12-29 |
1144207226 | Robin Chapman | Psychologist | 398 Neponset Ave, Dorchester, MA 02122-3134 | 2005-12-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578162798 | Psychological Transformation | Psychologist | 348 Cambridge Rd # 115, Woburn, MA 01801-6037 | 2020-10-19 |
1841897345 | Sade Callwood | Psychologist | 185 Devonshire St Ste 800, Boston, MA 02110-1414 | 2020-10-07 |
1982210480 | Aaron Rezendes Psyd LLC | Psychologist | 38 Dow St, Framingham, MA 01702-7220 | 2020-09-20 |
1184239808 | Morgan Eleanor Smigielski | Psychologist | 65 Park Dr Apt 18, Boston, MA 02215-5238 | 2020-09-10 |
1821601568 | Dr. Chelsea Levy Licensed Psychologist LLC | Psychologist | 203 Spring St, Medford, MA 02155-2814 | 2020-08-24 |
1679183230 | Holly Muller | Psychologist | 225 Friend St, Boston, MA 02114-1800 | 2020-08-07 |
1285242123 | Ruth Brim Balser | Psychologist | 36 Audubon Dr, Chestnut Hill, MA 02467-2621 | 2020-07-16 |
1952929184 | Sarah Joanna Schoffstall | Psychologist | 32 Hastings St, Framingham, MA 01701-7954 | 2020-07-14 |
1225655871 | Sasha Fleary | Psychologist | 28 Walter St, Hyde Park, MA 02136-2973 | 2020-06-30 |
1760008635 | Katherine Renda Florek | Psychologist | 2 Collins Rd, Hingham, MA 02043-2017 | 2020-06-17 |
Find all providers with the same taxonomy |
City | DORCHESTER |
Zip Code | 02124 |
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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.