Active NPI
Jaclin Gerstel-Friedman, PHD
- Counseling Psychologist
- Somerville, MA
National Provider Identifier
1497131973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 10994
- Practice address
- 32 Warren Ave Apt 2
Somerville, MA 02143-3044 - Phone
- (617) 835-3558
- NPI assigned
- Aug 6, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Counseling Psychologist | 103TC1900X | 10994 | MA | Primary |
Addresses
Primary practice location
32 Warren Ave Apt 2
Somerville, MA 02143-3044
Mailing address
32 Warren Ave Apt 2
Somerville, MA 02143-3044
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10994 | MA | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598054400000",
"number": "1497131973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 WARREN AVE APT 2",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021433044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 WARREN AVE APT 2",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021433044",
"telephone_number": "617-835-3558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERSTEL-FRIEDMAN",
"first_name": "JACLIN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-06",
"last_updated": "2020-08-22",
"certification_date": "2020-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MA",
"license": "10994",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Somerville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.