DR. JANICE PLUNKETT D'AVIGNON PH.D. NPI 1346387834

NPI Information

NPI: 1346387834
Provider Name: DR. JANICE PLUNKETT D'AVIGNON, PH.D.
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual
Address:
111 WILLARD ST STE 1C
QUINCY, MA
ZIP 02169
Phone: (617) 472-6539
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DR. Janice Plunkett D'avignon, PH.D. is a clinical neuropsychologist in Quincy, MA. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. DR. Janice Plunkett D'avignon, PH.D. NPI is 1346387834. 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:

111 WILLARD ST STE 1C
QUINCY, MA
ZIP 02169-200
Phone: (617) 472-6539
Fax: (617) 471-9925

The enumeration date for this NPI number is 1/31/2007 and was last updated on 7/8/2007.

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
1	103G00000X	Clinical Neuropsychologist		3937	MASSACHUSETTS	Yes
2	103TA0700X	Psychologist	Adult Development & Aging	3937	MASSACHUSETTS	X
3	103TB0200X	Psychologist	Cognitive & Behavioral	3937	MASSACHUSETTS	X
4	103TC0700X	Psychologist	Clinical	3937	MASSACHUSETTS	X
5	103TC1900X	Psychologist	Counseling	3937	MASSACHUSETTS	X
6	103TC2200X	Psychologist	Clinical Child & Adolescent	3937	MASSACHUSETTS	X
7	103TM1800X	Psychologist	Intellectual and Developmental Disabilities	3937	MASSACHUSETTS	X
8	103T00000X	Psychologist		3937	MASSACHUSETTS	X
9	103TR0400X	Psychologist	Rehabilitation	3937	MASSACHUSETTS	X
10	103TS0200X	Psychologist	School	3937	MASSACHUSETTS	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	W04049	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS	BLUE CROSS BLUE SHIELD

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: 4/28/2024

NPI Synchronization or Removal

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