DR. JEAN L SMITH (NPI# 1225184039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225184039 |
| Entity Type | Individual |
| Full Name | DR. JEAN L SMITH |
| Credential | PH.D. |
| Practice Address |
11 Homer St Newton Centre MA 02459-1510 |
| Mailing Address |
398 Lowell Ave Newtonville MA 02460-2152 |
| Practice Telephone | 6175588880 |
| Mailing Telephone | 6175588880 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
MA LIC # 2589 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0509175 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417422692 | Jean Smith | Technician | 108 Michigan Ave Ne Apt 11e, Washington, DC 20017-1030 | 2018-10-03 |
| 1609177716 | Jean Mary Smith | Specialist/Technologist, Other | 6 Meadowood Dr, Franklin, NH 03235-2118 | 2010-11-04 |
| 1205015351 | Jean M Smith | Occupational Therapist | 209 Poverty Ln, Lebanon, NH 03766-2708 | 2007-10-25 |
| 1780782805 | Jean Charlotte Smith | Pediatrics | 10 Sunnybrook Road, Wake County Human Services, Raleigh, NC 27610-1808 | 2006-09-20 |
| 1972611713 | Jean Sue Smith | Counselor | 1011 Highway 6 S, Ste. 314, Houston, TX 77077-1035 | 2006-08-29 |
| 1760414395 | Jean D Smith | Speech-Language Pathologist | 313 Lucas St E, Castalia, OH 44824-9782 | 2006-07-06 |
| 1861840985 | Jean R Smith | Occupational Therapist | 200 Ivy St, Brookline, MA 02446-3907 | 2016-05-31 |
| 1790073823 | Jean M Smith | Pharmacist | 1238 Putty Hill Ave, T1142, Towson, MD 21286-5844 | 2011-07-11 |
| 1881820819 | Jean B. Smith | Ophthalmology | 175 East 62nd St., New York, NY 10065-7626 | 2009-06-04 |
| 1386833648 | Jean Marie Smith | Physical Therapist | 1423 W Centre Ave, Portage, MI 49024-5351 | 2007-10-23 |
| Street Address |
11 HOMER ST |
| City | NEWTON CENTRE |
| State | MA |
| Zip Code | 02459-1510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558843912 | Nancy Smith | Social Worker | 504 Ward St, Newton, MA 02459 | 2018-09-03 |
| 1730608100 | Nicole M La Camera | Counselor | 39 Chestnut Terrace, Newton, MA 02459 | 2017-09-16 |
| 1154851368 | Crmb Physician Group Pllc | Obstetrics & Gynecology | 300 Boylston, Newton Corner, MA 02459 | 2017-06-20 |
| 1497156392 | The Spiegel Center | Clinic/Center | 335 Boylston Street, Front, Newton, MA 02459 | 2014-09-10 |
| 1073944294 | Aviva Care | In Home Supportive Care | 30 Bontempo Rd, Newton, MA 02459 | 2013-12-13 |
| 1609142017 | Boston Center for Memory, Inc | Psychiatry & Neurology | 180 Wells Ave., Suite 304, Newton, MA 02459 | 2012-03-29 |
| 1053689950 | Deborah Anne Sichel | Psychiatry & Neurology | 446 Brookline Street, Newton, MA 02459 | 2011-12-06 |
| 1437433216 | Micah Walsh Adams | Social Worker | 32 Union St. Suite 3, Newton, MA 02459 | 2011-09-28 |
| 1245532746 | Rochelle Eve Goldin | Occupational Therapist | 333 Nahanton Street, Newton, MA 02459 | 2010-12-03 |
| 1609177302 | Ellen Gail Forst | Speech-Language Pathologist | 333 Nahunton Street, Newton, MA 02459 | 2010-11-11 |
| Find all providers in zip 02459 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881184034 | Richard Raymond Schnell | Psychologist | 68 Stearns St, Newton Centre, MA 02459-2464 | 2018-05-14 |
| 1588821227 | Christopher G. Lovett | Psychologist | 63 Kenwood Ave, Newton Centre, MA 02459-1421 | 2008-05-20 |
| 1548431729 | Samuel Caplan Roth | Psychologist | 190 Sumner St, Newton Centre, MA 02459-1954 | 2008-03-17 |
| 1609917970 | Maida Jablon Greenberg | Psychologist | 48 Ballard Street, Newton Centre, MA 02459 | 2007-02-09 |
| 1871657155 | Luanne Grossman | Psychologist | 41 Oakmont Rd, Newton Centre, MA 02459-2530 | 2006-12-20 |
| 1003984725 | Marcia Dana Huberman | Psychologist | 21 Ridge Avenue, Newton Centre, MA 02459-2505 | 2006-12-01 |
| 1336220326 | Ellen Rudikoff | Psychologist | 35 Littlefield Rd, Newton Centre, MA 02459-3009 | 2006-10-18 |
| 1437644879 | B. Steven Feinberg | Psychologist | 140 Brandeis Rd, Newton Centre, MA 02459-2799 | 2018-06-27 |
| 1487031688 | Dr. Jessica L. Gashin | Psychologist | 53 Langley Road, Suite 310c, Newton Centre, MA 02445-5350 | 2015-04-27 |
| 1447588439 | Jane Coles Ryter | Psychologist | 53 Langley Road, Suite 250b, Newton Centre, MA 02459 | 2009-12-02 |
| Find all providers in NEWTON CENTRE | ||||
| City | NEWTON CENTRE |
| Zip Code | 02459 |
Please comment or provide details below to improve the information on DR. JEAN L SMITH.
| 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.