NPI 1922742469 · live from the CMS NPI Registry
Jason Alan, Psy.D.
Psychologist, Clinical in Worcester, MA. National Provider Identifier 1922742469, active.
NPI record
| NPI | 1922742469 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 100 Century Dr, Worcester, MA 01606 |
| Practice phone | 508-762-5400 |
| Mailing address | Po Box 415348, Boston, MA 02241 |
| Enumerated | April 21, 2022 |
| Last updated | February 6, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | 11980 (MA) |
| Psychologist | 103T00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.