JACLYN B. DEVINE PSYD PLLC
NPI 1386293496
Psychologist - Clinical in Andover, MA

Q: What is Jaclyn B. Devine Psyd PLLC's NPI number?

The NPI number for Jaclyn B. Devine Psyd PLLC is 1386293496. It was assigned to this organization in the NPPES registry on September 11, 2019.

Q: What is Jaclyn B. Devine Psyd PLLC's specialty?

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

Active since September 11, 2019

204 ANDOVER ST STE 403, ANDOVER, MA 01810(718) 607-9081 Get Directions Write a Review

NPPES record last updated: September 11, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Jaclyn B. Devine Psyd Pllc NPPES

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

JACLYN B. DEVINE PSYD PLLC (NPI 1386293496) is a healthcare organization registered as a clinical in Andover, Massachusetts and active in the NPI registry since September 2019. The organization lists Jaclyn Devine, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1386293496

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameJACLYN B. DEVINE PSYD PLLC

Location Address204 ANDOVER ST STE 403Andover, MA 01810-5702

Mailing Address51 Winding Pond RdLondonderry, NH 03053-3371 · (718) 607-9081

Phone(718) 607-9081

Organization SubpartNo

Authorized OfficialJaclyn DevineClinical Psychologist · (718) 607-9081

Enumeration DateSeptember 11, 2019

✔ NPI 1386293496 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.

204 ANDOVER ST STE 403, Andover, MA 01810

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaclyn B. Devine Psyd Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jaclyn B. Devine Psyd PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jaclyn Devine, PSYD

Clinical Psychologist

NPI 1932261237

204 ANDOVER ST STE 403
Andover, MA 01810

(978) 878-1017

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jaclyn B. Devine Psyd PLLC's NPI number?

The NPI number for Jaclyn B. Devine Psyd PLLC is 1386293496. It was assigned to this organization in the NPPES registry on September 11, 2019.

Where is Jaclyn B. Devine Psyd PLLC located?

Jaclyn B. Devine Psyd PLLC is located at 204 Andover St Ste 403, Andover, MA 01810. The listed phone number is (718) 607-9081.

What is Jaclyn B. Devine Psyd PLLC's specialty?

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

Is Jaclyn B. Devine Psyd PLLC enrolled in Medicare?

Yes. Jaclyn B. Devine Psyd PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jaclyn B. Devine Psyd PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Jaclyn B. Devine Psyd PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Jaclyn B. Devine Psyd PLLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Jaclyn B. Devine Psyd PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jaclyn B. Devine Psyd PLLC was last updated on September 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.