DR. THEODORE JASNOS PH.D. NPI 1336203652

NPI Information

  • NPI: 1336203652
  • Provider Name: DR. THEODORE JASNOS, PH.D.
  • Classification: Psychologist - 103TP0814X
  • Specialization: Psychoanalysis
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 31 LAKE ST
    NORTH CENTRAL HUMAN SERVICES
    GARDNER, MA
    ZIP 01440
  • Phone: (978) 632-9400

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NPI Details

DR. Theodore Jasnos, PH.D. is a psychoanalysis psychologist in Gardner, MA with 56 years of experience. The provider is a psychologist whose specialty is distinguished from other specialties by its body of knowledge and its intensive treatment approaches. It aims at structural changes and modifications of a person's personality. Psychoanalysis promotes awareness of unconscious, maladaptive and habitually recurrent patterns of emotion and behavior, allowing previously unconscious aspects of the self to become integrated and promoting optimal functioning, healing and creative expression. DR. Theodore Jasnos, PH.D. NPI is 1336203652. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

31 LAKE ST
NORTH CENTRAL HUMAN SERVICES
GARDNER, MA
ZIP 01440-879
Phone: (978) 632-9400
Fax: (978) 632-6425

The NPI 1336203652 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychotherapy, 1 hour (HCPCS:90837)

The enumeration date for this NPI number is 12/21/2006 and was last updated on 9/11/2025.

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
1103G00000XClinical Neuropsychologist1805MASSACHUSETTSNo
2103TC0700XPsychologistClinical1805MASSACHUSETTSNo
3103TC2200XPsychologistClinical Child & Adolescent1805MASSACHUSETTSNo
4103TP0814XPsychologistPsychoanalysis1805MASSACHUSETTSYes

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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