Jaclyn B. Devine Psyd Pllc - Medicare Mental Health Clinic in Andover, MA

Jaclyn B. Devine Psyd Pllc is a medicare enrolled mental health clinic (Psychologist - Clinical) in Andover, Massachusetts. The current practice location for Jaclyn B. Devine Psyd Pllc is 204 Andover St Ste 403, Andover, Massachusetts. For appointments, you can reach them via phone at (718) 607-9081. The mailing address for Jaclyn B. Devine Psyd Pllc is 51 Winding Pond Rd, Londonderry, New Hampshire and phone number is (718) 607-9081.

Jaclyn B. Devine Psyd Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1386293496. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (718) 607-9081.

Contact Information

Jaclyn B. Devine Psyd Pllc
204 Andover St Ste 403
Andover
MA 01810-5702
(718) 607-9081
Not Available

Mental Health Clinic Profile

Full NameJaclyn B. Devine Psyd Pllc
SpecialityPsychologist
Location204 Andover St Ste 403, Andover, Massachusetts
Authorized Official Name and PositionJaclyn Devine (CLINICAL PSYCHOLOGIST)
Authorized Official Contact7186079081
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jaclyn B. Devine Psyd Pllc
51 Winding Pond Rd
Londonderry
NH 03053-3371

Ph: (718) 607-9081
Jaclyn B. Devine Psyd Pllc
204 Andover St Ste 403
Andover
MA 01810-5702

Ph: (718) 607-9081

NPI Details:

NPI Number1386293496
Provider Enumeration Date09/11/2019
Last Update Date09/11/2019

Medicare PECOS Information:

Medicare PECOS PAC ID4688006778
Medicare Enrollment IDO20191111002191

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Medical Identifiers

Medical identifiers for Jaclyn B. Devine Psyd Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386293496NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Jaclyn B. Devine Psyd Pllc acts as a billing entity for following providers:
Provider NameJaclyn B Devine
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1932261237
PECOS PAC ID: 4880824168
Enrollment ID: I20150421001989

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