Theodore Jasnos, PH.D.
NPI 1336203652ActiveIndividual· Psychologist, Psychoanalysis· Gardner, MA
Psychologist, Psychoanalysis (PH.D.) in Gardner, Massachusetts, licensed in MA, with an NPI issued in December 2006. Medicare paid $29,421 for services to 20 patients in 2024.
Overview
| NPI | 1336203652 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | Yes |
| NPI issued | Dec 21, 2006 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Psychoanalysis Primary | 103TP0814X | 1805 | MA |
| Clinical Neuropsychologist | 103G00000X | 1805 | MA |
| Psychologist, Clinical | 103TC0700X | 1805 | MA |
| Psychologist, Clinical Child & Adolescent | 103TC2200X | 1805 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (MA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 20 |
|---|---|
| Services billed | 279 across 3 procedure codes |
| Paid by Medicare | $29,421 |
Education and affiliations
| Graduation year | 1970 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |