Individual provider Active NPI

Jesine Susan Ogara, PYSD

  • Psychologist
  • Needham, MA
National Provider Identifier
1811135395
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
8961 Issued in MA
Practice address
20 Chestnut St Ste 103
Needham, MA 02492-2576
Phone
(617) 276-2725
NPI assigned
Jan 22, 2009
Last updated
Jan 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 8961 MA Primary

Addresses

Primary practice location

20 Chestnut St Ste 103
Needham, MA 02492-2576

Mailing address

20 Chestnut St Ste 10
Needham, MA 02492-2542
Phone (617) 276-2725

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
8961MAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1811135395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CHESTNUT ST STE 10",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024922542",
            "telephone_number": "617-276-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CHESTNUT ST STE 103",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024922576",
            "telephone_number": "617-276-2725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGARA",
        "first_name": "JESINE",
        "middle_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "PYSD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-22",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "8961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Needham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.