Active NPI
Jennifer A Dotson, PSY.D.
- Clinical Psychologist
- Boston, MA
National Provider Identifier
1881801702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 9348
- Practice address
- 896 Beacon St # 204
Boston, MA 02215-3033 - Phone
- (617) 447-0378
- Fax
- (617) 701-7674
- NPI assigned
- May 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Psychologist | 103TC0700X | 9348 | MA | Primary |
Addresses
Primary practice location
896 Beacon St # 204
Boston, MA 02215-3033
Mailing address
896 Beacon St # 204
Boston, MA 02215-3033
Phone (617) 447-0378
Other practice location 1
14 Ardale St
Roslindale, MA 02131-1506
Phone (857) 939-0472
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9348 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551830400000",
"number": "1881801702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "896 BEACON ST # 204",
"city": "BOSTON",
"state": "MA",
"postal_code": "022153033",
"telephone_number": "617-447-0378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "896 BEACON ST # 204",
"city": "BOSTON",
"state": "MA",
"postal_code": "022153033",
"telephone_number": "617-447-0378",
"fax_number": "617-701-7674"
}
],
"practiceLocations": [
{
"address_1": "14 Ardale St",
"address_purpose": "LOCATION",
"city": "Roslindale",
"state": "MA",
"postal_code": "021311506",
"country_code": "US",
"telephone_number": "857-939-0472",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOTSON",
"first_name": "JENNIFER",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2019-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "9348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.