DR. CHARMAIN FIONA JACKMAN (NPI# 1619958402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619958402 |
| Entity Type | Individual |
| Full Name | DR. CHARMAIN FIONA JACKMAN |
| Credential | PHD |
| Practice Address |
124 Watertown St Ste 3a Watertown MA 02472-2599 |
| Mailing Address |
Po Box 894 Watertown MA 02471-0894 |
| Practice Telephone | 6178032417 |
| Mailing Telephone | 6178032417 |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 8159 | MA | Behavioral Health & Social Service Providers |
| N | 103TF0200X |
Psychologist Specialization: Forensic |
Behavioral Health & Social Service Providers |
| Street Address |
124 WATERTOWN ST STE 3A |
| City | WATERTOWN |
| State | MA |
| Zip Code | 02472-2599 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528432275 | Social Emotional Educational & Developmental Services, LLC | Clinical Neuropsychologist | 124 Watertown St Ste 3a, Watertown, MA 02472-2599 | 2015-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548735327 | Gladys Nakungu Kasansula | Counselor | Square Medical Group, 124 Watertown Street, Suite 2d, Watertown, MA 02472 | 2018-10-09 |
| 1447741962 | Hannah Edward | Optometrist | 550 Arsenal Street, Watertown, MA 02472 | 2018-05-21 |
| 1982193504 | Ruth Audrey Silverstein | Social Worker | Perkins School for The Blind, 175 North Beacon Street, Watertown, MA 02472 | 2018-05-09 |
| 1376067355 | Mostafa Medhati | Acupuncturist | 265 Lexington St., Watertown, MA 02472 | 2017-08-01 |
| 1003346313 | Eric Trant | Specialist/Technologist | 50 Columbia Street, Watertown, MA 02472 | 2017-06-19 |
| 1477007730 | Neangkanika Chea | Nurse Practitioner | 2 Repton Place, Apt 2204, Watertown, MA 02472 | 2016-08-04 |
| 1396128120 | Michelle Soares Darocha | Dentist | 18 Hovey Street, Watertown, MA 02472 | 2015-06-29 |
| 1760875496 | Ece Evin Yildirim | Acupuncturist | 557 Mt. Auburn St, Watertown, MA 02472 | 2015-03-05 |
| 1396140927 | Fabrizia Torazzi | Behavioral Analyst | 51 Water Street, Suite 200, Watertown, MA 02472 | 2014-10-24 |
| 1265774392 | Emilia Ann Fulop | Social Worker | 127 North Beacon Street, Watertown, MA 02472 | 2013-03-27 |
| Find all providers in zip 02472 | ||||
| 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 |
|---|---|---|---|---|
| 1104466846 | Colin Sauder | Psychologist | 521 Mount Auburn St Ste 209, Watertown, MA 02472-4153 | 2020-01-10 |
| 1447604962 | Ksera Dyette | Psychologist | 9 Patten St, Watertown, MA 02472-3933 | 2016-04-21 |
| 1992120430 | Amanda L Sweet | Psychologist | 22670 Summit Dr Ste B, Watertown, NY 13601-7209 | 2014-02-20 |
| 1871821561 | Solution Psychological Services, Inc. | Psychologist | 100 S Maple St. #204, Watertown, SD 57201-6596 | 2009-11-18 |
| 1518002997 | David H Gallant | Psychologist | 199 Coolidge Avenue, Suite 703, Watertown, MA 02472-1572 | 2007-02-21 |
| 1780726117 | Deborah Kay Rosene | Psychologist | 117 Highland Avenue, Watertown, MA 02472 | 2007-02-13 |
| 1821135757 | Lise A. Hall | Psychologist | Mercy Behavioral Health, 218 Stone St, Watertown, NY 13601 | 2007-01-31 |
| 1881749950 | Jane Hanenberg | Psychologist | 173 Mt. Auburn St., Watertown, MA 02472-4005 | 2007-01-25 |
| 1508914946 | Janet Corcoran Jameson | Psychologist | 26 Winsor Ave, Watertown, MA 02472-1460 | 2007-01-08 |
| 1770631095 | Christina Whitbeck | Psychologist | 24 Otis St, Watertown, MA 02472-4008 | 2007-01-05 |
| Find all providers in WATERTOWN | ||||
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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.