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DR. JACQUELINE LEE MARTIN PHD
NPI 1922247527
Psychologist - Clinical Child & Adolescent in Boston, MA

Active since February 05, 2009PECOS Enrolled
21 AUTUMN ST, 1ST FL, BOSTON, MA 02215(339) 927-3274 Get Directions Write a Review

NPPES record last updated: February 5, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jacqueline Lee Martin Phd NPPES

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

DR. JACQUELINE LEE MARTIN PHD (NPI 1922247527) is an individual clinical child & adolescent provider in Boston, Massachusetts, licensed in Massachusetts (8564) and active in the NPI registry since February 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922247527
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameDR. JACQUELINE LEE MARTINCredential: PHD
Location Address21 AUTUMN ST, 1ST FLBoston, MA 02215-5317
Mailing Address21 Autumn St, 1st FlBoston, MA 02215-5317 · (339) 927-3274
Phone(339) 927-3274
Sole ProprietorNo
Enumeration DateFebruary 5, 2009
✔ NPI 1922247527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in MA · 8564
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
21 AUTUMN ST, Boston, MA 02215
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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, WellSense Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jacqueline Lee Martin Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES

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

DR. MICHELLE BOSQUET ENLOW PHD
Psychologist
21 AUTUMN ST, 1ST FLOOR
BOSTON, MA 02215
Suffolk County (617) 919-4680

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 Jacqueline Martin's NPI number?

The NPI number for Jacqueline Martin is 1922247527. It was assigned to this individual provider in the NPPES registry on February 5, 2009.

Where is Jacqueline Martin located?

Jacqueline Martin practices at 21 Autumn St 1st Fl, Boston, MA 02215. The listed phone number is (339) 927-3274.

What is Jacqueline Martin's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Jacqueline Martin enrolled in Medicare?

Yes. Jacqueline Martin is registered in the Medicare PECOS enrollment system.

What insurance does Jacqueline Martin accept?

Health plans from Anthem Blue Cross and Blue Shield and WellSense Health Plan list Jacqueline Martin 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 Jacqueline Martin was last updated on February 5, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.