Jacqueline Ann Fletcher, LADCI

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

2150 Issued in MA

Practice address

216 Lake Rd
Ashburnham, MA 01430-1207

Phone

(978) 827-5115

NPI assigned

Sep 13, 2007

Last updated

Sep 13, 2007By the provider in NPPES

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The McLean Hospital Corporation

  dba McLean Professional Practice Group

  • Psychiatry Physician
  • Belmont, MA
  • NPI 1114979580
  NPD (past)

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189641600000",
    "number": "1861687766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 LAKE RD",
            "city": "ASHBURNHAM",
            "state": "MA",
            "postal_code": "014301207",
            "telephone_number": "978-827-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 LAKE RD",
            "city": "ASHBURNHAM",
            "state": "MA",
            "postal_code": "014301207",
            "telephone_number": "978-827-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "JACQUELINE",
        "middle_name": "ANN",
        "credential": "LADCI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "2150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Catherine Durkin
• Bahaa M Fadel, MD
• Kathleen Elizabeth Fahey, RD
• Family Home Medical Equipment & Supplies, Inc.
• Family Pharmacy LTC Inc
• Jessica Lynn Gilot
• Paul Alvin Girling, ED.D.
• Denise H Gosselin, RN
• David Mark Haddad, ED.D
• Donald Harmon, ATC

• Addiction (Substance Use Disorder) Counselor in Ashburnham, MA
• Providers in Ashburnham, MA by specialty
• Addiction (Substance Use Disorder) Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.