Individual provider Active NPI

Jocelyn Henin, PH.D.

  • Clinical Psychologist
  • Florence, MA
National Provider Identifier
1003576935
Registry record updated Mar 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
10796 Issued in MA
Practice address
60 Maple St Ste 1C
Florence, MA 01062-1248
Phone
(917) 710-7585
NPI assigned
Dec 20, 2021
Reactivated
Mar 17, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 021472 NY
Clinical Psychologist 103TC0700X 10796 MA Primary

Addresses

Primary practice location

60 Maple St Ste 1C
Florence, MA 01062-1248

Mailing address

118 Hinckley St
Florence, MA 01062-2710
Phone (917) 710-7585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 3, 2026 through Jun 3, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
10796MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Abk Counseling & Wellness, LLC Psychologist PastSince Dec 1, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1003576935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 HINCKLEY ST",
            "city": "FLORENCE",
            "state": "MA",
            "postal_code": "010622710",
            "telephone_number": "917-710-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MAPLE ST STE 1C",
            "city": "FLORENCE",
            "state": "MA",
            "postal_code": "010621248",
            "telephone_number": "917-710-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENIN",
        "first_name": "JOCELYN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-20",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-17",
        "deactivation_date": "2022-02-10",
        "reactivation_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "021472",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "10796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, MA

Sources for this page

Verify at the official NPI Registry.