MS. JACLYN SUSANNE KINSMAN


Address: 83 Herrick St, Suite 2005, Beverly, MA 01915-2757
Phone: 9787780703

MS. JACLYN SUSANNE KINSMAN (NPI# 1699146597) 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) 1699146597
Entity Type Individual
Full Name MS. JACLYN SUSANNE KINSMAN
Credential CAGS, LEP
Practice Address 83 Herrick St
Suite 2005
Beverly
MA 01915-2757
Practice Telephone 9787780703
Mailing Telephone 9787780703
Enumeration Date 2015-10-18
Last Update Date 2015-10-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 1025 MA Behavioral Health & Social Service Providers

Office Location

Street Address 83 HERRICK ST
SUITE 2005
City BEVERLY
State MA
Zip Code 01915-2757

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619976610 Arpana M Shah Obstetrics & Gynecology 83 Herrick St, Suite 2001, Beverly, MA 01915-2757 2005-07-20
1750923744 Jennifer Ruth Prentiss Advanced Practice Midwife 83 Herrick St, Beverly, MA 01915-2757 2019-10-11
1043671274 Essex County Ob/gyn Associates Obstetrics & Gynecology 83 Herrick St, Suite 2004, Beverly, MA 01915-2757 2016-03-16
1942693635 Maura F. Mcgrane M.d., P.C. Obstetrics & Gynecology 83 Herrick St, Beverly, MA 01915-2757 2015-03-05
1184016735 Amanda Webb Bevilacqua Advanced Practice Midwife 83 Herrick St, Suite 2004, Beverly, MA 01915-2757 2015-02-19
1811399074 North Shore Neurology and Emg LLC Psychiatry & Neurology 83 Herrick St, Suite 1001, Beverly, MA 01915-2757 2014-09-19
1609208321 Robert J Obrien Jr Md and Associates PC Dermatology 83 Herrick St, Suite 3000, Beverly, MA 01915-2757 2013-08-05
1962766055 Elizabeth Rodriguez Obstetrics & Gynecology 83 Herrick St, Suite #2004, Beverly, MA 01915-2757 2012-07-03
1144593484 Kristian Leigh Orestis Advanced Practice Midwife 83 Herrick St, Suite 2004, Beverly, MA 01915-2757 2012-02-16
1578894796 Ann Hayes Carroll Nurse Practitioner 83 Herrick St, Beverly, MA 01915 2010-01-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497377253 Janice E. Schwartz Psychologist 100 Cummings Center, 232 C, Beverly, MA 01915 2020-05-14
1720625452 Campos Dental Care PC Dentist 127 Dodge Street, Beverly, MA 01915 2019-12-02
1144781477 Nutrimedy Dietitian, Registered 6 Oceanside Drive, Beverly, MA 01915 2019-03-28
1376001073 Benjamin David Stebbings Counselor 199 Rosewood Dr. Suite 250, Beverly, MA 01915 2019-03-12
1376000455 Patrick Matthew Noble Occupational Therapist Peer Projects - Therapy From The Heart, 100 Cummings Center Suite 350g, Beverly, MA 01915 2019-02-26
1174007900 Nicole Morreo Psychologist 480 Rantoul St., 208, Beverly, MA 01915 2018-09-18
1891282299 Jeanne Tomich Psychologist 110 Hart St., Beverly, MA 01915 2018-04-20
1518469089 Kathleen L Golemon Specialist 100 Cummings Center Suite 158-d, Beverly, MA 01915 2018-03-01
1629582556 Sarah Elizabeth Tsouvalas Nurse Practitioner 900 Cummings Center, Suite 111w, Lahey Health Primary Care, Beverly, Beverly, MA 01915 2017-11-30
1235657339 Kathleen Ann Downey Registered Nurse Element Care, 166d Cummings Center, Beverly, MA 01915 2017-09-08
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497377253 Janice E. Schwartz Psychologist 100 Cummings Center, 232 C, Beverly, MA 01915 2020-05-14
1144796814 Meredith M. Cohen, Ph.d. Psychologist 100 Cummings Ctr Ste 537k, Beverly, MA 01915-6233 2018-10-19
1174007900 Nicole Morreo Psychologist 480 Rantoul St., 208, Beverly, MA 01915 2018-09-18
1710272380 Martin Krugman Psychologist 32 Stone St, Beverly, MA 01915-5039 2011-06-12
1073739736 Garbis Dimidjian Psychologist 119 Cross Ln, Beverly, MA 01915-3825 2007-04-18
1114006673 Sylvia E Topp Psychologist 945 Hale St, Beverly, MA 01915-2235 2006-11-03
1689649568 Jeanne Marie Mckeon Psychologist 83 Herrick St Ste 2005, Beverly, MA 01915-2757 2006-02-22
1497363873 Gabriella Nicole Caruso Psychologist 100 Cummings Ctr Ste 307e, Beverly, MA 01915-6107 2020-07-21
1760854483 Alexandra Robinson Lash Psychologist 900 Cummings Ctr, Suite 324-s, Beverly, MA 01915-6198 2015-10-21
1033549498 Meredith S. Adams Psychologist 131 Rantoul St, Beverly, MA 01915-4240 2013-11-22
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Competitor

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City BEVERLY
Zip Code 01915

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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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