JENNIFER BLOSSOM MS
NPI 1063947299
Psychologist - Clinical Child & Adolescent in Augusta, ME

Q: What is Jennifer Blossom's NPI number?

The NPI number for Jennifer Blossom is 1063947299. It was assigned to this individual provider in the NPPES registry on April 25, 2017.

Q: What is Jennifer Blossom's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Blossom was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.

Active since April 25, 2017PECOS Enrolled

6 E CHESTNUT ST, AUGUSTA, ME 04330(207) 623-2977(207) 623-9374 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jennifer Blossom Ms NPPES

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

JENNIFER BLOSSOM MS (NPI 1063947299) is an individual clinical child & adolescent provider in Augusta, Maine, licensed in Maine (PS2514) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1063947299

Entity TypeIndividualFemale

Primary Taxonomy103TC2200X

Provider Legal NameJENNIFER BLOSSOMCredential: MS

Location Address6 E CHESTNUT STAugusta, ME 04330-5758

Mailing Address6 E Chestnut StAugusta, ME 04330-5758 · (207) 623-2977 · Fax (207) 623-9374

Phone(207) 623-2977

Fax(207) 623-9374

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateApril 25, 2017

Last NPPES UpdateOctober 28, 2025

NPPES CertifiedOctober 28, 2025

✔ NPI 1063947299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in ME · PS2514

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

6 E CHESTNUT ST, Augusta, ME 04330

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Blossom Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466945423

PECOS Enrollment IDI20251208001267

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

DR. CAROL ANNE SAUNDERS MD

Pathology (Anatomic Pathology & Clinical Pathology)

6 E CHESTNUT ST, DEPT OF PATHOLOGY
AUGUSTA, ME 04330

Kennebec County (207) 626-1409

PAUL PLUMER PA-C

Physician Assistant