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JENNIFER GORHAM PSY.D.
NPI 1477806073
Psychologist - Clinical in Worcester, MA

Active since October 19, 2012Opted out of Medicare · through Apr 29, 2027
121 LINCOLN ST, WORCESTER, MA 01605(774) 312-6667 Get Directions Write a Review

NPPES record last updated: June 7, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Jennifer Gorham Psy.d. NPPES

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

JENNIFER GORHAM PSY.D. (NPI 1477806073) is an individual clinical provider in Worcester, Massachusetts, licensed in Massachusetts (10306) and active in the NPI registry since October 2012. She has opted out of Medicare through April 29, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1477806073
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameJENNIFER GORHAMCredential: PSY.D.
Location Address121 LINCOLN STWorcester, MA 01605-2429
Mailing Address121 Lincoln StWorcester, MA 01605-2429 · (774) 312-6667
Phone(774) 312-6667
Sole ProprietorYes
Enumeration DateOctober 19, 2012
Last NPPES UpdateJune 7, 2022
NPPES CertifiedJune 7, 2022
✔ NPI 1477806073 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 · 10306
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.
121 LINCOLN ST, Worcester, MA 01605
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jennifer Gorham Psy.d. 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 29, 2025 through April 29, 2027.

Opt-Out Effective DateApril 29, 2025
Opt-Out In Effect ThroughApril 29, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01605 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$177.36 typical visit price
range $58.86 – $177.36
Typical copayment $44.34 (range $14.71 – $44.34)
Most-billed visit code 99205
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SEASONS PSYCHOLOGICAL SERVICES LLC
Community/Behavioral Health
121 LINCOLN ST
WORCESTER, MA 01605
Worcester County (774) 312-6667
DR. MIRIAM KISSIN PSY.D.
Psychologist (Clinical)
121 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 797-1000
BLENDED HEARTS HOME CARE, LLC
Custodial Care Facility (Adult Care Home)
121 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 963-5259
VITAL CLINIC
Clinic/Center (Medical Specialty)
121 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 826-5388
DIAGNOSIS NETWORK INC
Radiology (Diagnostic Ultrasound)
121 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 335-7163
DR. PATRICK P HOGAN M.D.
Obstetrics & Gynecology
121 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 754-9100
TATIANA HAMAWI, DBA ALPHA-OMEGA MEDICAL CARE
Pediatrics
121 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 753-7700
MRS. JAEL ALHESSABI R.E
Specialist
121 LINCOLN ST, GROWN LEVEL
WORCESTER, MA 01605
Worcester County (508) 964-2449

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 Jennifer Gorham's NPI number?

The NPI number for Jennifer Gorham is 1477806073. It was assigned to this individual provider in the NPPES registry on October 19, 2012.

Where is Jennifer Gorham located?

Jennifer Gorham practices at 121 Lincoln St, Worcester, MA 01605. The listed phone number is (774) 312-6667.

What is Jennifer Gorham's specialty?

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

Is Jennifer Gorham enrolled in Medicare?

No. Jennifer Gorham has opted out of Medicare through April 29, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Jennifer Gorham accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Jennifer Gorham 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 Jennifer Gorham was last updated on June 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.