JESSICA ELLEN GOLDSTEIN (NPI# 1477542777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477542777 |
| Entity Type | Individual |
| Full Name | JESSICA ELLEN GOLDSTEIN |
| Other Name | JESSICA ELLEN KELLSTEIN |
| Credential | PHD |
| Practice Address |
115 Mill St Belmont MA 02478-1041 |
| Practice Telephone | 6178552206 |
| Practice Fax Number | 6178553691 |
| Mailing Telephone | 6178552206 |
| Mailing Fax Number | 6178553691 |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
7707 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BLUE CROSS/BLUE SHIELD | W05983 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316504160 | Jessica M Goldstein | Speech-Language Pathologist | 126 Bonito Ave, Long Beach, CA 90802-5331 | 2019-05-28 |
| 1558626994 | Jessica Goldstein | Specialist | 33 Wilmington Dr, Melville, NY 11747-4032 | 2012-07-11 |
| 1376964205 | Jessica Montgomery Goldstein | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2013-12-19 |
| 1821392630 | Jessica Erin Goldstein | Emergency Medicine | 232 W 25th St, Erie, PA 16544-0002 | 2011-01-08 |
| 1164674370 | Jessica Goldstein | Counselor | 5 Middlesex Ave, Wilmington, MA 01887-2773 | 2008-10-21 |
| 1275796732 | Jessica Helena Randa Goldstein | Student in an Organized Health Care Education/Training Program | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2008-07-05 |
| 1740382449 | Jessica R Goldstein | Emergency Medicine | 3999 Richmond Rd, Beachwood, OH 44122-6046 | 2006-09-02 |
| 1760452601 | Jessica Taylor Goldstein | Family Medicine | 1441 Constitution Blvd, Salinas, CA 93906-3100 | 2006-01-24 |
| Street Address |
115 MILL ST |
| City | BELMONT |
| State | MA |
| Zip Code | 02478-1041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467454652 | Jacqueline Anne Samson | Psychologist | 115 Mill St, Belmont, MA 02478-1041 | 2005-06-01 |
| 1326647520 | Jacqueline Bullis | Psychologist | 115 Mill St, Belmont, MA 02478-1048 | 2020-10-20 |
| 1578162707 | Caleb Zachary Demers | Social Worker | 115 Mill St, Belmont, MA 02478-1048 | 2020-10-19 |
| 1083221428 | Noa Kupfer | Social Worker | 115 Mill St, Belmont, MA 02478-1064 | 2020-09-29 |
| 1154936490 | Remy Sky Leutwyler | Social Worker | 115 Mill St, Belmont, MA 02478-1064 | 2020-09-14 |
| 1699380295 | Denice Cronin | Psychologist | 115 Mill St, Belmont, MA 02478-1064 | 2020-09-10 |
| 1033724851 | Amanda Sedgewick, Pllc | Clinic/Center | 115 Mill St, Belmont, MA 02478-1064 | 2020-09-09 |
| 1013529015 | Miqveh Steinhart | Social Worker | 115 Mill St, Belmont, MA 02478-1064 | 2020-08-20 |
| 1801407820 | Lindsay Amateis | Social Worker | 115 Mill St, Belmont, MA 02478-1064 | 2020-08-13 |
| 1790395671 | Patrick Shanley | Social Worker | 115 Mill St, Mclean Hospital Mail Stop 106, Belmont, MA 02478 | 2020-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089924 | Emily Boyko | Physical Therapist | 413 Trapelo Rd, 2, Belmont, MA 02478 | 2020-10-01 |
| 1326695636 | Kristen Perrelli | Social Worker | 115 Mill Street Mail Stop 207, Belmont, MA 02478 | 2019-08-21 |
| 1265905210 | Deborah J Fenn | Social Worker | 88 Palfrey Rd, Belmont, MA 02478 | 2019-01-02 |
| 1922578855 | The Psych Garden LLC | Counselor | 25 Flanders Road, Belmont, MA 02478 | 2018-12-04 |
| 1083199855 | Wendi Goldberg | Social Worker | 1 15 Mill Street, Belmont, MA 02478 | 2018-09-27 |
| 1124514146 | Ann Polcari | Clinical Nurse Specialist | Service Building Mc Lean Hospital, 115 Mill Street, Belmont, MA 02478 | 2018-07-02 |
| 1245722701 | Jeremy Stewart | Psychologist | Mclean Hospital, 115 Mill Street, Mailstop 331, Belmont, MA 02478 | 2018-05-31 |
| 1295257848 | Stephanie Boyer | Psychologist | Mclean Hospital, 115 Mill St., Mail Stop 131, Belmont, MA 02478 | 2017-07-14 |
| 1497281893 | The Meraki Center for Therapeutic Arts | Community/Behavioral Health | 431 Trapelo Rd, Belmont, MA 02478 | 2017-05-04 |
| 1275908063 | Alex Jordan | Psychologist | 115 Mill Street, Mail Stop 217, Mclean Hospital, Belmont, MA 02478 | 2015-12-05 |
| Find all providers in zip 02478 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235755398 | Jessica L Lazar Schwartz | Psychologist | 115 Mill St # Ms 238, Belmont, MA 02478-1064 | 2020-06-24 |
| 1700371747 | Rachel Faye Bruno | Psychologist | 220 Lewis Road, Belmont, MA 02478-3833 | 2018-06-22 |
| 1245722701 | Jeremy Stewart | Psychologist | Mclean Hospital, 115 Mill Street, Mailstop 331, Belmont, MA 02478 | 2018-05-31 |
| 1659861870 | Jeffrey Paul Miner | Psychologist | 36 Broad St, Belmont, MA 02478-3206 | 2018-05-14 |
| 1295257848 | Stephanie Boyer | Psychologist | Mclean Hospital, 115 Mill St., Mail Stop 131, Belmont, MA 02478 | 2017-07-14 |
| 1275908063 | Alex Jordan | Psychologist | 115 Mill Street, Mail Stop 217, Mclean Hospital, Belmont, MA 02478 | 2015-12-05 |
| 1699090357 | Emily E Manove | Psychologist | 25 Flanders Rd, Belmont, MA 02478-4066 | 2010-04-06 |
| 1851537773 | Emily R. Wildman, Psy.d., LLC | Psychologist | 2824 Alhambra Dr, Belmont, CA 94002-1352 | 2008-12-23 |
| 1942497565 | Michele Candrian | Psychologist | 115 Mill Street, Mclean Hospital, North Belknap 1, Belmont, MA 02428 | 2007-09-27 |
| 1790902443 | Elizabeth M Rizzo | Psychologist | 1200 Sixth Ave, Belmont, CA 94002-3856 | 2007-04-20 |
| Find all providers in BELMONT | ||||
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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.