JESSICA MARIE FEDOROWICZ
NPI 1336632694
Psychologist in Concord, MA

Active since June 12, 2018
575 VIRGINIA RD STE 102, CONCORD, MA 01742(978) 440-2168(413) 781-1059 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 4, 2025, Jun 12, 2018 (2 updates tracked since 2018).

About Jessica Marie Fedorowicz NPPES

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

JESSICA MARIE FEDOROWICZ (NPI 1336632694) is an individual psychologist in Concord, Massachusetts, licensed in Massachusetts (PSY11621) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1336632694
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameJESSICA MARIE FEDOROWICZ
Location Address575 VIRGINIA RD STE 102Concord, MA 01742-2761
Mailing Address575 Virginia Rd Ste 102Concord, MA 01742-2761 · (978) 440-2168
Fax(413) 781-1059
Sole ProprietorNo
Enumeration DateJune 12, 2018
Last NPPES UpdateJune 4, 20252 updates tracked since enumeration
NPPES CertifiedJune 2, 2025
NPI 1336632694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MA · PSY11621
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Also ListedPsychologist · Health ServiceTaxonomy 103TH0100X
575 VIRGINIA RD STE 102, Concord, MA 01742

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
575 VIRGINIA RD STE 102
CONCORD, MA 01742
Psychologist (Clinical)
575 VIRGINIA RD STE 102
CONCORD, MA 01742
Student in an Organized Health Care Education/Training Program
575 VIRGINIA RD STE 102
CONCORD, MA 01742
Nurse Practitioner (Psychiatric/Mental Health)
575 VIRGINIA RD STE 102
CONCORD, MA 01742

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336632694, enumerated as an "individual" on June 12, 2018.

The provider is located at 575 VIRGINIA RD STE 102 CONCORD, MA 01742 and the phone number is (978) 440-2168.

Psychologist with taxonomy code 103T00000X.