Individual provider Active NPI

Jacqueline S Hogan, PHD

  • Clinical Psychologist
  • Newburyport, MA
National Provider Identifier
1174148290
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY10001658 Issued in MA
Practice address
112 Parker St Ste 2a
Newburyport, MA 01950-4008
Phone
(978) 488-1364
NPI assigned
Jun 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY10001658 MA Primary

Addresses

Primary practice location

112 Parker St Ste 2a
Newburyport, MA 01950-4008

Mailing address

112 Parker St Ste 2a
Newburyport, MA 01950-4008
Phone (978) 488-1364

Other practice location 1

77 Elm St Ste 203
Amesbury, MA 01913-2503
Phone (978) 488-1364

Other names 1

  • Dr. Jacqueline S Hogan Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250401001175 MA Practitioner - Mental Health Counselor 3870015258 Reassigns benefits to 1 organization
I20260611000454 MA Practitioner - Clinical Psychologist 3870015258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

112 Parker St
Newburyport, MA 01950-4008
Phone (978) 488-1364

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY10001658MAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hogan Life Counseling & Coaching Psychologist CurrentSince Jan 17, 2025 Accepting new patients

Locations

77 Elm St
Ste 203
Amesbury, MA 01913
Phone (978) 488-1364

112 Parker St
Ste 2A
Newburyport, MA 01950
Phone (978) 488-1364

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1174148290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 PARKER ST STE 2A",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019504008",
            "telephone_number": "978-488-1364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 PARKER ST STE 2A",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019504008",
            "telephone_number": "978-488-1364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "77 Elm St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Amesbury",
            "state": "MA",
            "postal_code": "019132503",
            "country_code": "US",
            "telephone_number": "978-488-1364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "JACQUELINE",
        "middle_name": "S",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-15",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "PSY10001658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "HOGAN",
            "middle_name": "S",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Newburyport, MA

Sources for this page

Verify at the official NPI Registry.