JESSE M. CROSBY PH.D.
NPI 1023429958
Psychologist in Arlington, MA

Active since May 13, 2014Opted out of Medicare · through Jan 1, 2028
22 MILL ST STE 405, ARLINGTON, MA 02476(781) 879-7597 Get Directions Write a Review

NPPES record last updated: May 13, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jesse M. Crosby Ph.d. NPPES

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

JESSE M. CROSBY PH.D. (NPI 1023429958) is an individual psychologist in Arlington, Massachusetts, licensed in Massachusetts (9886) and active in the NPI registry since May 2014. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1023429958
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameJESSE M. CROSBYCredential: PH.D.
Location Address22 MILL ST STE 405Arlington, MA 02476-4744
Mailing Address22 Mill St Ste 405Arlington, MA 02476-4744 · (781) 879-7597
Sole ProprietorYes
Enumeration DateMay 13, 2014
NPI 1023429958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MA · 9886
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.
22 MILL ST STE 405, Arlington, MA 02476

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Jesse M. Crosby Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2018 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2018
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 2

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

Occupational Therapist
22 MILL ST STE 405
ARLINGTON, MA 02476
Occupational Therapist
22 MILL ST STE 405
ARLINGTON, MA 02476

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 Jesse Crosby's NPI number?

The NPI number for Jesse Crosby is 1023429958. It was assigned to this individual provider in the NPPES registry on May 13, 2014.

Where is Jesse Crosby located?

Jesse Crosby practices at 22 Mill St Ste 405, Arlington, MA 02476. The listed phone number is (781) 879-7597.

What is Jesse Crosby's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jesse Crosby enrolled in Medicare?

No. Jesse Crosby has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jesse Crosby was last updated on May 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.