Individual provider Active NPI

Jessica Ellen Nargiso, PH.D.

  • Psychologist
  • Boston, MA
National Provider Identifier
1497929632
Registry record updated Dec 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
9565 Issued in MA
Practice address
151 Merrimac St, 6TH Floor Suite
Arms Program
Boston, MA 02114-6220
Phone
(617) 726-6453
NPI assigned
Apr 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 9565 MA Primary
Psychologist 103T00000X PS01239 RI

Addresses

Primary practice location

151 Merrimac St, 6TH Floor Suite
Arms Program
Boston, MA 02114-6220

Mailing address

151 Merrimac St, 6TH Floor Suite
Arms Program
Boston, MA 02114-6220
Phone (617) 726-6453

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20121212000142 MA Practitioner - Clinical Psychologist 8527210954 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The General Hospital CorporationGroup PAC ID 6507803806, 1,275 clinicians

Practice addresses (Care Compare)

55 Fruit St
Boston, MA 02114-2621
Phone (617) 726-2000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9565MAMDPsychologist
PS01239RIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
General Hospital Corp Current Accepting new patients
The General Hospital Corporation CurrentSince Dec 13, 2012 Accepting new patients
Massachusetts General Physicians Organization Inc CurrentSince Dec 13, 2012 Accepting new patients

Locations

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

55 Fruit St
Boston, MA 02114

151 Merrimac St
Fl 6
Boston, MA 02114
Phone (617) 643-4695

Interoperability endpoints

  • Direct secure messaging: nargiso.jessica.mgh@direct.partners.masshiway.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481241600000",
    "number": "1497929632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 MERRIMAC ST, 6TH FLOOR SUITE",
            "address_2": "ARMS PROGRAM",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021146220",
            "telephone_number": "617-726-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 MERRIMAC ST, 6TH FLOOR SUITE",
            "address_2": "ARMS PROGRAM",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021146220",
            "telephone_number": "617-726-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARGISO",
        "first_name": "JESSICA",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-18",
        "last_updated": "2016-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "9565",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "RI",
            "license": "PS01239",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.