Individual provider Active NPI

Jesslynn Rocha Neves-McCain, PH.D.

  • Clinical Psychologist
  • Southbridge, MA
National Provider Identifier
1689225682
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY10001135 Issued in MA
Practice address
183 Cournoyer Blvd
Southbridge, MA 01550-1295
Phone
(774) 319-4332
NPI assigned
Sep 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY10001135 MA Primary
School Psychologist 103TS0200X PSY10001135 MA
Psychologist 103T00000X PSY10001135 MA

Addresses

Primary practice location

183 Cournoyer Blvd
Southbridge, MA 01550-1295

Mailing address

183 Cournoyer Blvd
Southbridge, MA 01550-1295
Phone (774) 319-4332

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
I20260113000034 MA Practitioner - Clinical Psychologist 5294211942 Practice locations: Southbridge, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Southbridge, MA 01550
Phone (774) 319-4332

4800 N Scottsdale Rd
Suite 2500
Scottsdale, AZ 85251-7630

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY10001135MAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Luk Crisis Center Inc. PastSince Sep 1, 2019 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/luk/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1689225682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 COURNOYER BLVD",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "015501295",
            "telephone_number": "774-319-4332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 COURNOYER BLVD",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "015501295",
            "telephone_number": "774-319-4332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVES-MCCAIN",
        "first_name": "JESSLYNN",
        "middle_name": "ROCHA",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "PSY10001135",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "MA",
            "license": "PSY10001135",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "PSY10001135",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southbridge, MA

Sources for this page

Verify at the official NPI Registry.