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JESSICA POULSEN, PHD, PC
NPI 1164242137
Psychologist - Clinical in Boston, MA

Active since October 15, 2024
867 BOYLSTON ST FL 5TH11755, BOSTON, MA 02116(508) 203-1521 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jessica Poulsen, Phd, Pc NPPES

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

JESSICA POULSEN, PHD, PC (NPI 1164242137) is a healthcare organization registered as a clinical in Boston, Massachusetts and active in the NPI registry since October 2024. The organization lists Jessica Poulsen, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1164242137
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameJESSICA POULSEN, PHD, PC
Location Address867 BOYLSTON ST FL 5TH11755Boston, MA 02116-2774
Mailing Address867 Boylston St Fl 5th11755Boston, MA 02116-2774 · (508) 203-1521
Phone(508) 203-1521
Organization SubpartNo
Authorized OfficialJessica PoulsenClinical Psychologist · (508) 203-1521
Enumeration DateOctober 15, 2024
NPPES CertifiedOctober 15, 2024
✔ NPI 1164242137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
867 BOYLSTON ST FL 5TH11755, Boston, MA 02116
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Jessica Poulsen, Phd, PC's NPI number?

The NPI number for Jessica Poulsen, Phd, PC is 1164242137. It was assigned to this organization in the NPPES registry on October 15, 2024.

Where is Jessica Poulsen, Phd, PC located?

Jessica Poulsen, Phd, PC is located at 867 Boylston St Fl 5th11755, Boston, MA 02116. The listed phone number is (508) 203-1521.

What is Jessica Poulsen, Phd, PC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Jessica Poulsen, Phd, PC was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.