Active NPI
Jana P. Chickinski, PH.D.
- Clinical Psychologist
- Whitinsville, MA
National Provider Identifier
1154531101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6881
- Practice address
- 781 Main St
Suite 3
Whitinsville, MA 01588-1712 - Phone
- (774) 551-6546
- NPI assigned
- May 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 6881 | MA | |
| Adult Development & Aging Psychologist | 103TA0700X | 6881 | MA | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 6881 | MA | |
| Clinical Psychologist | 103TC0700X | 6881 | MA | Primary |
| Family Psychologist | 103TF0000X | 6881 | MA | |
| Group Psychotherapy Psychologist | 103TP2701X | 6881 | MA |
Addresses
Primary practice location
781 Main St
Suite 3
Whitinsville, MA 01588-1712
Mailing address
334 Providence Rd
South Grafton, MA 01560-1335
Phone (508) 839-4486
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6881 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357516800000",
"number": "1154531101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "334 PROVIDENCE RD",
"city": "SOUTH GRAFTON",
"state": "MA",
"postal_code": "015601335",
"telephone_number": "508-839-4486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "781 MAIN ST",
"address_2": "SUITE 3",
"city": "WHITINSVILLE",
"state": "MA",
"postal_code": "015881712",
"telephone_number": "774-551-6546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHICKINSKI",
"first_name": "JANA",
"middle_name": "P.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2013-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "MA",
"license": "6881",
"primary": false
},
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": "MA",
"license": "6881",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "MA",
"license": "6881",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "6881",
"primary": true
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "MA",
"license": "6881",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "MA",
"license": "6881",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whitinsville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.