Individual provider Active NPI

Jacqueline Alfonso Barry, M.S.

  • Psychologist
  • Boston, MA
National Provider Identifier
1275713877
Registry record updated Jul 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
10075 Issued in MA
Practice address
264 Beacon St FL 6
Boston, MA 02116
Phone
(617) 431-3749
Fax
(617) 812-2448
NPI assigned
Nov 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 10075 MA Primary

Addresses

Primary practice location

264 Beacon St FL 6
Boston, MA 02116

Mailing address

7 Quinshipaug Rd
Milford, MA 01757-1175
Phone (305) 216-8008

Other practice location 1

33 Highland St
New Britain, CT 06052-2013
Phone (860) 224-9985

Other identifiers 1

IdentifierTypeStateIssuer
10075OtherMASTATE OF MASSACHUSETTS

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
Master of Science

State licenses

LicenseStateTypeSpecialty
10075MAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532044800000",
    "number": "1275713877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 QUINSHIPAUG RD",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017571175",
            "telephone_number": "305-216-8008",
            "fax_number": "617-812-2448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 BEACON ST FL 6",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02116",
            "telephone_number": "617-431-3749",
            "fax_number": "617-812-2448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Highland St",
            "address_purpose": "LOCATION",
            "city": "New Britain",
            "state": "CT",
            "postal_code": "060522013",
            "country_code": "US",
            "telephone_number": "860-224-9985",
            "fax_number": "860-826-4995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARRY",
        "first_name": "JACQUELINE",
        "middle_name": "ALFONSO",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-12",
        "last_updated": "2018-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "10075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MASSACHUSETTS",
            "identifier": "10075",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; 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.