Jaclyn Beckmann Devine, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

9522 Issued in MA

Practice address

204 Andover St Ste 403
Andover, MA 01810-5702

Phone

(978) 878-1017

NPI assigned

Dec 14, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Bridgewell, IncGroup PAC ID 6507833985, 39 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Bridgewell, Inc

  • Community/Behavioral Health Agency
  • Lowell, MA
  • NPI 1033262860
  Medicare reassignment Care Compare group NPD
• Jaclyn B. Devine PSYD PLLC

  • Clinical Psychologist
  • Andover, MA
  • NPI 1386293496
  Medicare reassignment NPD Authorized official
• Bridgewell Counseling

  • Mental Health Counselor
  • Lowell, MA
  • NPI 1922316058
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1932261237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 ANDOVER ST STE 403",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018105702",
            "telephone_number": "978-878-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 ANDOVER ST STE 403",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018105702",
            "telephone_number": "978-878-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVINE",
        "first_name": "JACLYN",
        "middle_name": "BECKMANN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MA",
            "license": "9522",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "9522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonia Dettmann, LICSW
• Kathleen Ferguson Devaney, M.D.
• Pamela Grace Devaney, PSY.D.
• Jamie Dever
• Beth Deverix
• Allison Di Salvo
• Johelvi Diaz
• Lola Diaz
• Lorna Elizabeth Dimeo, M.S.W., L.I.C.S.W.
• Elizabeth Aboo Diodati, PMHNP

• Clinical Psychologist in Andover, MA
• Providers in Andover, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.