Jena Gordon Talbot, PHD
NPI 1821511338ActiveIndividual· Psychologist, Clinical· Braintree, MA
Psychologist, Clinical (PHD) with Lifespan Physician Group Inc, practicing in Braintree, Massachusetts. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1821511338 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Jul 18, 2017 |
| Last updated in NPPES | Mar 18, 2024 |
| Certified by provider | Mar 15, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PS02249 | RI |
| Psychologist, Clinical | 103TC0700X | PSY10000133 | 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 (RI) |
|---|
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Lifespan Physician Group IncProvidence, RI · 1,173 clinicians
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