Jessica L Goren, PHARMD

Primary specialty

Psychiatric PharmacistTaxonomy code 1835P1300X

License

25120 Issued in MA

Practice address

103 Garland St
Whidden Hospital
Everett, MA 02149-5066

Phone

(617) 806-8514

NPI assigned

Sep 29, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471219200000",
    "number": "1750378469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 CAMBRIDGE ST",
            "address_2": "PHARMACY ADMIN 2ND FLOOR",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021411057",
            "telephone_number": "617-806-6514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 GARLAND ST",
            "address_2": "WHIDDEN HOSPITAL",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "021495066",
            "telephone_number": "617-806-8514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOREN",
        "first_name": "JESSICA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-29",
        "last_updated": "2016-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1300X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Psychiatric",
            "state": "MA",
            "license": "25120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane M Gogan, LIC. AC.
• Thomas Pedro Goldberger, M.D.
• Hector Gomez
• Adrian Leobardo Gonzalez, DMD
• Kelley Gordon, LPN
• Taiany Goulart, LMHC
• Stephanie Graffam, RN
• Gerald R Grasso, DMD
• Great Smiles Dental Management Inc
• Donna Green

• Psychiatric Pharmacist in Everett, MA
• Providers in Everett, MA by specialty
• Psychiatric Pharmacist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; 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.