Jacqueline S. Hogan, PHD
NPI 1174148290ActiveIndividual· Psychologist, Clinical· Newburyport, MA
Psychologist, Clinical (PHD) in Newburyport, Massachusetts, licensed in MA, with an NPI issued in June 2020. Enrolled in Medicare as practitioner - clinical psychologist and practitioner - mental health counselor.
Overview
| NPI | 1174148290 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Jun 15, 2020 |
| Last updated in NPPES | May 27, 2026 |
| Certified by provider | May 27, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PSY10001658 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (MA); Practitioner - Mental Health Counselor (MA) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
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