JENNIFER BLOSSOM MS
NPI 1063947299
Psychologist - Clinical Child & Adolescent in Augusta, ME
NPI Status: Active since April 25, 2017
Contact Information
6 E CHESTNUT ST
AUGUSTA, ME
ZIP 04330
Phone: (207) 623-2977
Fax: (207) 623-9374
- Individual
- Female
- Psychologist
- Clinical Child & Adolescent
- PECOS Enrolled
About JENNIFER BLOSSOM
This page provides the complete NPI Profile along with additional information for Jennifer Blossom, a provider established in Augusta, Maine with a medical specialization in Psychologist, focusing in clinical child & adolescent . The healthcare provider is registered in the NPI registry with number 1063947299 assigned on April 2017. The practitioner's primary taxonomy code is 103TC2200X with license number PS2514 (ME). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1063947299
- Provider Name
- JENNIFER BLOSSOM MS
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 6 E CHESTNUT ST AUGUSTA, ME 04330
- Location Phone
- (207) 623-2977
- Location Fax
- (207) 623-9374
- Mailing Address
- 6 E CHESTNUT ST AUGUSTA, ME 04330
- Mailing Phone
- (207) 623-2977
- Mailing Fax
- (207) 623-9374
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-25-2017
- Last Update Date
- 10-28-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Clinical Child & Adolescent
- Taxonomy Code
- 103TC2200X
- Type
- Behavioral Health & Social Service Providers
- License No.
- PS2514
- License State
- ME
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Medicare Participation & PECOS Enrollment Status
Jennifer Blossom is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1063947299, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
AUGUSTA, ME 04330
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063947299, enumerated as an "individual" on April 25, 2017.
The provider is located at 6 E CHESTNUT ST AUGUSTA, ME 04330 and the phone number is (207) 623-2977.
Psychologist with taxonomy code 103TC2200X and a focus in Clinical Child & Adolescent.
