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DR. THEODORE JASNOS PH.D.
NPI 1336203652
Psychologist - Psychoanalysis in Gardner, MA

Active since December 21, 2006PECOS EnrolledAccepts Medicare Assignment
31 LAKE ST, NORTH CENTRAL HUMAN SERVICES, GARDNER, MA 01440(978) 632-9400(978) 632-6425 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Theodore Jasnos Ph.d. NPPES

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

DR. THEODORE JASNOS PH.D. (NPI 1336203652) is an individual psychoanalysis provider in Gardner, Massachusetts, licensed in Massachusetts (1805) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1970).

NPPES Registry Identity

NPI1336203652
Entity TypeIndividualMale
Primary Taxonomy103TP0814X
Provider Legal NameDR. THEODORE JASNOSCredential: PH.D.
Location Address31 LAKE ST, NORTH CENTRAL HUMAN SERVICESGardner, MA 01440-3879
Mailing Address7 Cedar StClinton, MA 01510-2206 · (978) 365-2286
Phone(978) 632-9400
Fax(978) 632-6425
Sole ProprietorYes
Medical School CMSOtherGraduated 1970
Enumeration DateDecember 21, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1336203652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychologist · PsychoanalysisBehavioral Health & Social Service Providers
Taxonomy Code103TP0814X
License✔ Licensed in MA · 1805
Definition
A psychologist whose specialty is distinguished from other specialties by its body of knowledge and its intensive treatment approaches. It aims at structural changes and modifications of a person's personality. Psychoanalysis promotes awareness of unconscious, maladaptive and habitually recurrent patterns of emotion and behavior, allowing previously unconscious aspects of the self to become integrated and promoting optimal functioning, healing and creative expression.
Also ListedClinical NeuropsychologistTaxonomy 103G00000X · License 1805 (MA)
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 1805 (MA)
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License 1805 (MA)
31 LAKE ST, Gardner, MA 01440
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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 and accepts Medicare assignment

Dr. Theodore Jasnos Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416940663
PECOS Enrollment IDI20040405001264
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
240 services18 patients

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.

MRS. KARYN MADDEN B.S.HUMAN DEVELOPMEN
Counselor (Professional)
31 LAKE ST
GARDNER, MA 01440
Worcester County (978) 632-4432
MARY ANN CYNTHIA KAIROUZ
Counselor
31 LAKE ST
GARDNER, MA 01440
Worcester County (978) 632-9400
ELIZABETH D HIGGINS-STEELE M.ED.
Developmental Therapist
31 LAKE ST
GARDNER, MA 01440
Worcester County (978) 632-4432
MELISSA JILL SPURIA
Developmental Therapist
31 LAKE ST
GARDNER, MA 01440
Worcester County (978) 632-4432
BARBARA AUCOIN
Physical Therapist (Pediatrics)
31 LAKE ST
GARDNER, MA 01440
Worcester County (978) 632-4432
MRS. SUSAN JANE RICHARD P.T.
Physical Therapist (Pediatrics)
31 LAKE ST
GARDNER, MA 01440
Worcester County (978) 632-4432
MS. DIANE C SPINDLER LMHC LMFT
Marriage & Family Therapist
31 LAKE ST
GARDNER, MA 01440
Worcester County (978) 632-9400
MR. GARY JOHN LEBLANC JR. MA
Counselor (Mental Health)
31 LAKE ST
GARDNER, MA 01440
Worcester County (978) 632-9400

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 Theodore Jasnos's NPI number?

The NPI number for Theodore Jasnos is 1336203652. It was assigned to this individual provider in the NPPES registry on December 21, 2006.

Where is Theodore Jasnos located?

Theodore Jasnos practices at 31 Lake St North Central Human Services, Gardner, MA 01440. The listed phone number is (978) 632-9400.

What is Theodore Jasnos's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Psychoanalysis, with taxonomy code 103TP0814X.

Is Theodore Jasnos enrolled in Medicare?

Yes. Theodore Jasnos is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Theodore Jasnos was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.