Individual provider Active NPI

Jenna Labbe-Watson

  • Clinical Psychologist
  • Camden, ME
National Provider Identifier
1649935826
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS2379 Issued in ME
Practice address
87 Elm St Ste 204B
Camden, ME 04843-1959
Phone
(207) 691-4461
Fax
(855) 691-0359
NPI assigned
Nov 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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 PS2379 ME Primary

Addresses

Primary practice location

87 Elm St Ste 204B
Camden, ME 04843-1959

Mailing address

168 W Meadow Rd
Rockland, ME 04841-6102
Phone (207) 390-0737

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://drjenna-labbe-watson.clientsecure.me/ Direct

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

State licenses

LicenseStateTypeSpecialty
PS2379MEMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1649935826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 W MEADOW RD",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048416102",
            "telephone_number": "207-390-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 ELM ST STE 204B",
            "city": "CAMDEN",
            "state": "ME",
            "postal_code": "048431959",
            "telephone_number": "207-691-4461",
            "fax_number": "855-691-0359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABBE-WATSON",
        "first_name": "JENNA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ME",
            "license": "PS2379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://drjenna-labbe-watson.clientsecure.me/",
            "affiliation": "N",
            "endpointDescription": "patient portal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "pdfs preferred",
            "address_1": "87 Elm St Ste 204B",
            "city": "Camden",
            "state": "ME",
            "country_code": "US",
            "postal_code": "048431959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Camden, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.