KRISTEN LEE JERNBERG


Address: 18 Anselm Terrace, Brighton, MA 02135
Phone: (774) 551-6597

KRISTEN LEE JERNBERG (NPI# 1487171443) 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) 1487171443
Entity Type Individual
Full Name KRISTEN LEE JERNBERG
Practice Address 18 Anselm Terrace
Brighton
MA 02135
Mailing Address 18 Anselm Ter
Brighton
MA 02135-3106
Practice Telephone (774) 551-6597
Mailing Telephone 7745516597
Enumeration Date 2017-08-29
Last Update Date 2017-08-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TF0000X Psychologist
Specialization: Family
Behavioral Health & Social Service Providers

Office Location

Street Address 18 ANSELM TERRACE
City BRIGHTON
State MA
Zip Code 02135

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Taxonomy Information

Taxonomy Code 103TF0000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376751941 Garland William Batherson Psychologist 822 W Grand River Ave, Brighton, MI 48116-2303 2007-05-18
1013380427 Brighton Family Center, Plc Psychologist 10315 Grand River Rd, Suite 104, Brighton, MI 48116-9594 2015-11-06
1588872816 Batherson Consultants, LLC Psychologist 822 W Grand River Ave, Brighton, MI 48116-2303 2007-05-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1215574272 Jeff Beauvil Jr. Psychologist 66l Veterans Ave, Everett, MA 02149-4157 2019-12-09
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1982124988 Shavon Franks Psychologist 30 Downey Rd, Brockton, MA 02302 2017-06-21
1720458094 Jada Evans Psychologist 18 Sturtevant Ave, Apt. 1, Norwood, MA 02062 2015-09-30
1093028144 Denise Yvonne Grace-singleton Psychologist 304 Amory St, Jamaica Plain, MA 02130-2310 2010-07-19
1912121674 David Wilson Mcgill Psychologist 4 Wright St, Cambridge, MA 02138-1704 2007-04-12
1740378678 Jane N Appell Psychologist Damonmill Square Suite 3-1a, 9 Pond Lane, Concord, MA 01742-2858 2006-10-10
1710901749 Tanya B. White Psychologist 9 Doran Farm Ln, Lexington, MA 02420-2128 2006-07-26
1851370787 Robert George Goodman Psychologist 83 Franklin St, Watertown, MA 02472-4020 2006-01-10
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Competitor

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City BRIGHTON
Zip Code 02135

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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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