Seasons Psychological Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SEASONS PSYCHOLOGICAL SERVICES LLC

Practice address

121 Lincoln St
Worcester, MA 01605-2429

Phone

(774) 312-6667

NPI assigned

Jun 7, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Gorham, PSY.D.NPI 1477806073

Title

Clinical Psychologist/Owner

Phone

(774) 312-6667

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Gorham, PSY.D.

  • Clinical Psychologist
  • Worcester, MA
  • NPI 1477806073
  NPD Authorized official

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1083343867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 LINCOLN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052429",
            "telephone_number": "774-312-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 LINCOLN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052429",
            "telephone_number": "774-312-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASONS PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "GORHAM",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "774-312-6667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Katie Sears, M.A., BCBA
• Carly Elizabeth Sebastian, LICSW
• Victoria Sebastian
• Abderrahman Sebbai
• Steffi Thomas Sebin
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• Community/Behavioral Health Agency in Worcester, MA
• Providers in Worcester, MA by specialty
• Community/Behavioral Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.