JENNIFER BLOSSOM MS NPI 1063947299

NPI Information

  • NPI: 1063947299
  • Provider Name: JENNIFER BLOSSOM, MS
  • Classification: Psychologist - 103TC2200X
  • Specialization: Clinical Child & Adolescent
  • Entity Type: Individual
  • Address: 6 E CHESTNUT ST
    AUGUSTA, ME
    ZIP 04330
  • Phone: (207) 623-2977

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NPI Details

Jennifer Blossom, MS is a clinical child and adolescent psychologist in Augusta, ME. The provider is a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. Jennifer Blossom, MS NPI is 1063947299. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6 E CHESTNUT ST
AUGUSTA, ME
ZIP 04330-758
Phone: (207) 623-2977
Fax: (207) 623-9374

The enumeration date for this NPI number is 4/25/2017 and was last updated on 10/28/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC2200XPsychologistClinical Child & AdolescentPS2514MAINEYes
2390200000XStudent in an Organized Health Care Education/Training ProgramNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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