Organization Active NPI

David Jarsky, PSYD, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Concord, MA
National Provider Identifier
1689322828
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
DAVID JARSKY, PSYD, LLC
Practice address
30 Domino Dr Ste 2
Concord, MA 01742-2802
Phone
(978) 842-1842
NPI assigned
Mar 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Authorized official

Name
Dr. David Jarsky, PSYDNPI 1104346311
Title
Psychologist
Phone
(978) 842-1842

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

30 Domino Dr Ste 2
Concord, MA 01742-2802

Mailing address

30 Domino Dr Ste 2
Concord, MA 01742-2802
Phone (978) 842-1842

National Provider Directory

National Provider Directory

Locations

30 Domino Dr
Ste 2
Concord, MA 01742
Phone (781) 696-9940

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656979200000",
    "number": "1689322828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 DOMINO DR STE 2",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422802",
            "telephone_number": "978-842-1842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 DOMINO DR STE 2",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422802",
            "telephone_number": "978-842-1842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID JARSKY, PSYD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A",
        "authorized_official_last_name": "JARSKY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "978-842-1842",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; 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.