DR. JESSICA WEATHERFORD PSYD
NPI 1174305338
Psychologist - Clinical in Lexington, MA

Q: What is Jessica Weatherford's NPI number?

The NPI number for Jessica Weatherford is 1174305338. It was assigned to this individual provider in the NPPES registry on October 20, 2023.

Q: What is Jessica Weatherford's specialty?

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

Q: Is Jessica Weatherford enrolled in Medicare?

No. Jessica Weatherford has opted out of Medicare through April 28, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since October 20, 2023Opted out of Medicare · through Apr 28, 2028

14 COLONY RD, LEXINGTON, MA 02420(925) 408-9875 Get Directions Write a Review

NPPES record last updated: January 30, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 30, 2026, Oct 20, 2023 (2 updates tracked since 2023).

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About Dr. Jessica Weatherford Psyd NPPES

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

DR. JESSICA WEATHERFORD PSYD (NPI 1174305338) is an individual clinical provider in Lexington, Massachusetts, licensed in Massachusetts (PSY10000662) and active in the NPI registry since October 2023. She has opted out of Medicare through April 28, 2028.

NPPES Registry Identity

NPI1174305338

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JESSICA WEATHERFORDCredential: PSYD

Location Address14 COLONY RDLexington, MA 02420-2004

Mailing Address14 Colony RdLexington, MA 02420-2004

Phone(925) 408-9875

Sole ProprietorNo

Enumeration DateOctober 20, 2023

Last NPPES UpdateJanuary 30, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 30, 2026

✔ NPI 1174305338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MA · PSY10000662

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.

14 COLONY RD, Lexington, MA 02420

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jessica Weatherford Psyd 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 April 28, 2026 through April 28, 2028.

Opt-Out Effective DateApril 28, 2026

Opt-Out In Effect ThroughApril 28, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Weatherford's NPI number?

The NPI number for Jessica Weatherford is 1174305338. It was assigned to this individual provider in the NPPES registry on October 20, 2023.

Where is Jessica Weatherford located?

Jessica Weatherford practices at 14 Colony Rd, Lexington, MA 02420. The listed phone number is (925) 408-9875.

What is Jessica Weatherford's specialty?

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

Is Jessica Weatherford enrolled in Medicare?

No. Jessica Weatherford has opted out of Medicare through April 28, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jessica Weatherford was last updated on January 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.