Timothy Patrick Jubinville, M.A., C.A.G.S.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

799 W Boylston St
Worcester, MA 01606-3071

Phone

(508) 713-3059

NPI assigned

Jan 14, 2013

Sex

Male

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

Master of Arts

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358121600000",
    "number": "1962749747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 HITCHCOCK RD",
            "address_2": "APARTMENT 3",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016032613",
            "telephone_number": "508-713-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 W BOYLSTON ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016063071",
            "telephone_number": "508-713-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUBINVILLE",
        "first_name": "TIMOTHY",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "M.A., C.A.G.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-14",
        "last_updated": "2013-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Joyce, MA
• William C Juan, MD
• Sandeep Singh Jubbal, M.D.
• Amanda Jubin
• Elizabeth Jubinville, M.A.
• Kathleen M Juchno, NP
• Kunthavi Jude, LCSW
• Dejah R. Judelson, M.D.
• Lindsey Judson
• Ermania Jules

• Mental Health Counselor in Worcester, MA
• Providers in Worcester, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; 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.