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MR. JERRY SHORT
NPI 1023348786
Counselor - Mental Health in Dorchester, MA

Active since December 31, 2009
40 CRESTWOOD PARK, DORCHESTER, MA 02121(617) 312-9564 Get Directions Write a Review

NPPES record last updated: December 31, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Jerry Short NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JERRY SHORT (NPI 1023348786) is an individual mental health provider in Dorchester, Massachusetts and active in the NPI registry since December 2009.

NPPES Registry Identity

NPI1023348786
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. JERRY SHORT
Location Address40 CRESTWOOD PARKDorchester, MA 02121-1106
Mailing Address40 Crestwood ParkDorchester, MA 02121-1106 · (617) 312-9564
Phone(617) 312-9564
Sole ProprietorYes
Enumeration DateDecember 31, 2009
✔ NPI 1023348786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
40 CRESTWOOD PARK, Dorchester, MA 02121
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STRIVE2BEINC
Community/Behavioral Health
40 CRESTWOOD PARK
DORCHESTER, MA 02121
Suffolk County (617) 312-9564

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Short's NPI number?

The NPI number for Jerry Short is 1023348786. It was assigned to this individual provider in the NPPES registry on December 31, 2009.

Where is Jerry Short located?

Jerry Short practices at 40 Crestwood Park, Dorchester, MA 02121. The listed phone number is (617) 312-9564.

What is Jerry Short's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jerry Short was last updated on December 31, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.